Individual
ALYSSA ZAMALLOA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17407 N FLAGSTAFF WAY, NAMPA, ID 83687-5495
(702) 237-0106
Mailing address
17407 N FLAGSTAFF WAY, NAMPA, ID 83687-5495
(702) 237-0106
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
CNS19019
CA
Other
Enumeration date
02/21/2025
Last updated
03/08/2025
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