Individual
ALISON ANN TICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.N
Contact information
Practice address
1225 WILSHIRE BLVD, LOS ANGELES, CA 90017-1901
(213) 977-2121
Mailing address
931 16TH ST, SANTA MONICA, CA 90403-3201
(609) 425-1961
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
09/26/2016
Last updated
09/26/2016
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