Most Relevant Information
Provider Data
| NPI Number: | 1003412644 |
| Provider Name: | ALYSSA PERNICE RDN |
| Entity Type: | Individual |
| Taxonomy Code: | 133V00000X |
| Specialty: | Dietitian, Registered |
| License Number: | 86108634 |
Most Important Dates
| Enumeration Date: | 12/09/2020 |
| Last Updated: | 12/09/2020 |
Provider Practice Location
115 AUSTIN CT
DEPTFORD
NJ
080965113
Practice Location Phone/Fax
| Phone: | 8562963284 |
| Fax: |
Provider Mailing Location
115 AUSTIN CT
DEPTFORD
NJ
080965113
Provider Mailing Phone/Fax
| Phone: | 8562963284 |
| Fax: |