Individual
ALYSON MACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11719 MERIDIAN PL SE, LAKE STEVENS, WA 98258-9223
(425) 239-7261
Mailing address
11719 MERIDIAN PL SE, LAKE STEVENS, WA 98258-9223
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
1061
OR
133V00000X
Registered Dietitian
Primary
60226684
WA
Other
Enumeration date
10/27/2011
Last updated
10/27/2011
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