| Emily Wallace, RDN | |
|
3500 Civic Center Blvd, Philadelphia, PA 19104-4395 | |
| (215) 285-9048 | |
| Not Available |
| Full Name | Emily Wallace |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 3500 Civic Center Blvd, Philadelphia, Pennsylvania |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437732062 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133VN1004X | Dietitian, Registered - Nutrition, Pediatric | (* (Not Available)) | Secondary |
| 133V00000X | Dietitian, Registered | 86098606 (Pennsylvania) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Emily Wallace, RDN 1814 Pine St Apt 1r, Philadelphia, PA 19103-6645 Ph: (215) 285-9048 | Emily Wallace, RDN 3500 Civic Center Blvd, Philadelphia, PA 19104-4395 Ph: (215) 285-9048 |
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