Individual
ALLYSA BALLANTINI-CLEMENTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPP-D, R.D., L.D.
Contact information
Practice address
555 S 51ST ST, WEST DES MOINES, IA 50265-6967
(515) 225-1193
Mailing address
555 S 51ST ST, WEST DES MOINES, IA 50265-6967
(515) 225-1193
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
081161
IA
Other
Enumeration date
04/07/2016
Last updated
06/27/2025
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