ALYSSA DOLORES FERGUSON

AUSTIN, TX
NPI1487059838
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: TX  DT82087)
Enumeration Date2014-10-28
Last Update Date2014-10-28
Business Address
-- ALYSSA DOLORES FERGUSON RD, LD
3724 JEFFERSON ST SUITE 104
AUSTIN, TX 78731-6225
Phone number: 512-970-8658
Mailing Address
-- ALYSSA DOLORES FERGUSON RD, LD
1500 E RIVERSIDE DR APT 107
AUSTIN, TX 78741-1132
Phone number: 512-970-8658
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