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Individual

ALESSIA THACKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RD

Contact information

Practice address
3579 LANDMARK TRL, PALM HARBOR, FL 34684-5017
(813) 360-7177
Mailing address
3579 LANDMARK TRL, PALM HARBOR, FL 34684-5017

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
006315
GA
133V00000X
Registered Dietitian
011193-01
NY
133V00000X
Registered Dietitian
3614
LA
133V00000X
Registered Dietitian
Primary
9251
FL
133V00000X
Registered Dietitian
LD-D-10256231
OR

Other

Enumeration date
01/25/2024
Last updated
07/12/2025
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