Individual
ALISON TIERNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
820 THACKERAY TRL, OCONOMOWOC, WI 53066-4375
(414) 339-6125
Mailing address
820 THACKERAY TRL, OCONOMOWOC, WI 53066-4375
(414) 339-6125
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
06/19/2019
Last updated
06/19/2019
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