Individual
ALLISON ISMODES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
520 CYPRESS POINTE DR E, PEMBROKE PINES, FL 33027-1355
(954) 881-9941
Mailing address
520 CYPRESS POINTE DR E, PEMBROKE PINES, FL 33027-1355
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND12071
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ND12071
RD LICENSE
FL
Enumeration date
09/08/2023
Last updated
09/08/2023
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