Individual
AMY ALLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
63 MAIN ST, BROCKTON, MA 02301-4042
(508) 559-6699
(508) 559-5073
Mailing address
63 MAIN ST, BROCKTON, MA 02301-4042
(508) 238-5397
(508) 559-5073
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1413
MA
Other
Enumeration date
01/26/2016
Last updated
01/26/2016
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