Individual
ALYSSA NICKOLE TROUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
164 BADMAN RD, GREEN LANE, PA 18054-2403
(215) 237-1803
Mailing address
164 BADMAN RD, GREEN LANE, PA 18054-2403
(215) 237-1803
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN009131
PA
Other
Enumeration date
07/31/2025
Last updated
07/31/2025
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