ALICIA SUSILLA, BS
Dietitian, Registered
Active
Individual
NPI: 1154315968
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dietitian, Registered | 133V00000X | Yes | DI00001601 (WA) |
Frequently Asked Questions
NPI 1154315968 is the National Provider Identifier for ALICIA SUSILLA, BS, a Dietitian, Registered provider located in Longview, WA. This NPI was enumerated on September 7, 2005.
ALICIA SUSILLA, BS practices at 600 BROADWAY ST, Longview, WA 98632.
Quick Facts
- NPI
- 1154315968
- Type
- Individual
- Enumerated
- Sep 7, 2005
- Last Updated
- Jul 9, 2007
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