Individual
ALYSSA REAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2028 DAVIDSON PL, WHITING, IN 46394-2027
(708) 299-7362
Mailing address
2028 DAVIDSON PL, WHITING, IN 46394-2027
(708) 299-7362
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
12/10/2024
Last updated
12/10/2024
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