Individual
ALYSSA BOSSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
885 UNION ROAD, ENGLEWOOD, OH 45322
(937) 832-4060
Mailing address
885 UNION BLVD, ENGLEWOOD, OH 45322-2102
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD.08256
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LD.08256
OHIO BOARD OF DIETETICS
OH
Enumeration date
09/06/2017
Last updated
09/15/2017
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