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Individual

ANYA DISSEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RDN, LD

Contact information

Practice address
41 DONALD B DEAN DR STE A, SOUTH PORTLAND, ME 04106-3252
(207) 661-6064
Mailing address
240 HARVARD ST APT 607, PORTLAND, ME 04103-3536
(410) 310-7343

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI1621
ME

Other

Enumeration date
11/30/2022
Last updated
11/30/2022
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