Search › Illinois › 133V00000X
Mindy Wallace, RD LDN
NPI 1851305304 · on the registry since 2006
Practice
- Address
- 935 Jersey St
Quincy, IL 62301 - Phone
- (217) 228-2413
- Fax
- (217) 228-2416
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 133V00000X
133V00000X
- Also registered as
- 133V00000X
- Licence states on file
- IL, MO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2008-09-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois