Individual
MRS. PAULA MARIE ALLISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
23422 BURLINGAME AVE, PORT CHARLOTTE, FL 33980
(941) 276-3454
Mailing address
23422 BURLINGAME AVE, PORT CHARLOTTE, FL 33980-5718
(941) 276-3454
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND 4424
FL
Other
Enumeration date
11/06/2007
Last updated
11/06/2007
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