Individual
ALYSSA MANDRELLE CHAFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
10808 FORT ST, OMAHA, NE 68164-2076
(402) 493-2089
Mailing address
10808 FORT ST, OMAHA, NE 68164-2076
(402) 493-2089
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
002132
IA
133V00000X
Registered Dietitian
Primary
1058
NE
Other
Enumeration date
06/28/2013
Last updated
12/12/2016
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