Individual
ALISA DUSAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
12749 JOHNSON LN STE A, MANCHACA, TX 78652-3550
(512) 731-2015
Mailing address
12749 JOHNSON LN STE A, MANCHACA, TX 78652-3550
(512) 931-2015
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
06/15/2019
Last updated
06/15/2019
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