Wallace, Sara

Wallace, Sara is an sole proprietor health care provider with primary practice located at 2020 E Gordal Dr , San Tan Valley AZ 85140-0881. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Wallace, Sara can be contacted via phone (218) 452-0060.

Contact Information

Primary practice address
2020 E Gordal Dr San Tan Valley AZ 85140-0881
Phone: (218) 452-0060
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X

Profile Details

NPI number 1588576847
LBN Legal business name Wallace, Sara
Credentials RDN
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 21st, 2026
Last updated Sep 21st, 2026 - about last month

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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