Individual
MS. ALYCE THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
703 MAIN ST, PATERSON, NJ 07503-2621
(973) 754-2000
Mailing address
15 GRAND AVE, NEWARK, NJ 07106-1223
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
534559
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
534559
STATE LICENSE
NJ
Enumeration date
12/06/2007
Last updated
12/06/2007
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