Alisa Dietitian LLC
Dietitian, Registered in Arlington, MA. Organization (NPI-2).
NPI number1750173530
StatusActive
Last updated in NPPESJul 15, 2025
Details
- NPI
- 1750173530
- Entity type
- Organization (NPI-2)
- Legal business name
- Alisa Dietitian LLC
- Organization subpart
- No
- Enumeration date
- May 19, 2025
- Certification date
- Jul 15, 2025
- Last updated
- Jul 15, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | – | – | Yes |
Practice location
20 Philemon StArlington, MA 02474-1353
Phone 339-241-5312
Mailing address
20 Philemon StArlington, MA 02474-1353
Phone 339-241-5312
Authorized official
Alisa Peterson
Owner
3392415312
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