Individual
ALYSSA AILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LDN
Contact information
Practice address
1776 TAURUS LOOP UNIT 13B, CHARLESTON, IL 61920-3093
(618) 980-8362
Mailing address
1776 TAURUS LOOP UNIT 13B, CHARLESTON, IL 61920-3093
(618) 980-8362
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164008190
IL
Other
Enumeration date
11/23/2020
Last updated
11/23/2020
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