Individual
MS. ALYSSA ANNE RIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LD
Contact information
Practice address
621 S ILLINOIS AVE, MASON CITY, IA 50401-5405
(641) 428-2320
(641) 428-6923
Mailing address
844 10TH ST NE, MASON CITY, IA 50401-2420
(309) 854-2079
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
001963
IA
Other
Enumeration date
07/18/2012
Last updated
07/18/2012
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