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Organization

ALISA DIETITIAN LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ALISA PETERSON RDN, LDN (OWNER)
(339) 241-5312
Entity
Organization

Contact information

Practice address
20 PHILEMON ST, ARLINGTON, MA 02474-1353
(339) 241-5312
Mailing address
20 PHILEMON ST, ARLINGTON, MA 02474-1353
(339) 241-5312

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary

Other

Enumeration date
05/19/2025
Last updated
07/15/2025
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Product
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