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Individual
ALESSIA THACKER
Active
Individual
ALESSIA THACKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
006315
GA
133V00000X
Registered Dietitian
011193-01
NY
133V00000X
Registered Dietitian
3614
LA
133V00000X
Registered Dietitian
Primary
9251
FL
133V00000X
Registered Dietitian
LD-D-10256231
OR
Other
Enumeration date
01/25/2024
Last updated
07/12/2025
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