Wallace, Mary Terese
Wallace, Mary Terese is an individual health care provider with primary practice located at 939 Caroline St , Port Angeles WA 98362-3997. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Wallace, Mary Terese can be contacted via phone (360) 417-7125.Contact Information
Primary practice address
939 Caroline St
Port Angeles WA 98362-3997
Phone: (360) 417-7125
Fax: (360) 417-7188
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X | DI 60685427 | Washington |
Profile Details
| NPI number | 1982156766 |
|---|---|
| LBN Legal business name | Wallace, Mary Terese |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 27th, 2016 |
| Last updated | Apr 11th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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