Individual
ALYSSA TRAUTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1101 W LIBERTY ST, FARMINGTON, MO 63640-1921
(573) 760-8065
Mailing address
1101 W LIBERTY ST, FARMINGTON, MO 63640-1921
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2012034243
MO
Other
Enumeration date
01/06/2016
Last updated
01/06/2016
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