Provider Demographics
NPI:1306573175
Name:ALFORD, ALYSON LYNNE (HOLISTIC NUTRITION)
Entity type:Individual
Prefix:MS
First Name:ALYSON
Middle Name:LYNNE
Last Name:ALFORD
Suffix:
Gender:F
Credentials:HOLISTIC NUTRITION
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:334 INFLECTION ST
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89011-5416
Mailing Address - Country:US
Mailing Address - Phone:702-372-9653
Mailing Address - Fax:
Practice Address - Street 1:334 INFLECTION ST
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89011-5416
Practice Address - Country:US
Practice Address - Phone:702-372-9653
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-02
Last Update Date:2022-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath