Madeline G Wallace RD

NPI # 

Practice Address:

4301 W Markham St # 574

Little Rock, AR, 72205-7101

Practice Phone:

501-526-6477

Practice Fax:

501-526-7977

License Number:

2189

License State:

AR

Taxonomy Grouping:

Dietary & Nutritional Service Providers

Taxonomy Classification:

Dietitian, Registered

Taxonomy Code:

133V00000X

Updated by NPPES on 12/13/2024. You can view the original data set for NPI # 1366264970 on the official NPPES website. If the information about this NPI provider/company is outdated you can request updates through the NPPES website. See our FAQ page for more information.

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Madeline G Wallace , RD 's

CMS CPT® coding data

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Madeline G Wallace , RD 's

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