Individual
AMANDA VALLEE CORLISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
51 PEMBROKE AVE, ACUSHNET, MA 02743-2346
(508) 688-4794
(508) 974-9849
Mailing address
51 PEMBROKE AVE, ACUSHNET, MA 02743-2346
(508) 688-4794
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
4775
MA
Other
Enumeration date
04/14/2023
Last updated
04/27/2023
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