Individual
ALYSSA DEBORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD
Contact information
Practice address
110 E ELM ST STE B, GRANVILLE, OH 43023-1462
(206) 294-2425
Mailing address
110 E ELM ST STE B, GRANVILLE, OH 43023-1462
(206) 294-2425
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
08569
OH
133V00000X
Registered Dietitian
—
—
Other
Enumeration date
09/15/2014
Last updated
10/15/2023
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