Individual
ALYSSA CROUSE BANKES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS RDN LD
Contact information
Practice address
2708 HOLLY BROOK CT, BEDFORD, TX 76021-7210
(402) 980-9760
Mailing address
2708 HOLLY BROOK CT, BEDFORD, TX 76021-7210
(402) 980-9760
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT88792
TX
Other
Enumeration date
08/29/2023
Last updated
08/29/2023
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