Most Relevant Information
Provider Data
| NPI Number: | 1003382748 |
| Provider Name: | ALICE TOUMA RDN |
| Entity Type: | Individual |
| Taxonomy Code: | 133V00000X |
| Specialty: | Dietitian, Registered |
| License Number: | 987172 |
Most Important Dates
| Enumeration Date: | 10/21/2018 |
| Last Updated: | 10/21/2018 |
Provider Practice Location
1525 W HOMER ST STE 101
CHICAGO
IL
606421285
Practice Location Phone/Fax
| Phone: | 8887857370 |
| Fax: |
Provider Mailing Location
44645 DUNBARTON DR
NOVI
MI
483753919
Provider Mailing Phone/Fax
| Phone: | 7344191225 |
| Fax: |