Most Relevant Information
Provider Data
| NPI Number: | 1003334426 |
| Provider Name: | ALYSSA BOSSE RDN |
| Entity Type: | Individual |
| Taxonomy Code: | 133V00000X |
| Specialty: | Dietitian, Registered |
| License Number: | LD.08256 |
Most Important Dates
| Enumeration Date: | 09/06/2017 |
| Last Updated: | 09/15/2017 |
Provider Practice Location
885 UNION ROAD
ENGLEWOOD
OH
45322
Practice Location Phone/Fax
| Phone: | 9378324060 |
| Fax: |
Provider Mailing Location
885 UNION BLVD
ENGLEWOOD
OH
453222102
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |