Individual
MRS. ALYCE S YODER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D., C.D.
Contact information
Practice address
11104 PARKVIEW CIRCLE DR, SUITE 330, FORT WAYNE, IN 46845-1730
(888) 543-6397
Mailing address
14831 FLINT CREEK XING, LEO, IN 46765-9236
(260) 494-0081
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
37000796A
IN
133VN1005X
Renal Nutrition Registered Dietitian
Primary
37000796A
IN
Other
Enumeration date
03/20/2013
Last updated
03/20/2013
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