Individual
ALYSSA JORDAN SOLOMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LDN
Contact information
Practice address
2401 W MAIN ST, MARION, IL 62959-1188
(618) 997-5311
Mailing address
3420 WATER VALLEY RD, COBDEN, IL 62920-3226
(618) 697-0757
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164007596
IL
Other
Enumeration date
08/07/2023
Last updated
08/07/2023
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