Alicia Basen, RD,LD

NPI #1710575188 in Avon, Ohio

Provider Information

NPI Number: 1710575188
Entity Type: Individual
Name: Alicia Basen, RD,LD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dietitian, Registered
Credential: RD,LD
Enumeration Date: Jan 1, 2021
Last Updated: Jan 1, 2021

Practice Location

Address: 3849 SILSBY CT
City: Avon
State: Ohio
ZIP Code: 44011-3476
Phone: (419) 722-5016

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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Organizations

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