Provider Demographics
NPI:1538313382
Name:HERRING, ALLISON M (MS, RD)
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:M
Last Name:HERRING
Suffix:
Gender:F
Credentials:MS, RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5559 HORSE RIDGE WAY
Mailing Address - Street 2:
Mailing Address - City:BONITA
Mailing Address - State:CA
Mailing Address - Zip Code:91902-2842
Mailing Address - Country:US
Mailing Address - Phone:619-479-8824
Mailing Address - Fax:619-479-8824
Practice Address - Street 1:5559 HORSE RIDGE WAY
Practice Address - Street 2:
Practice Address - City:BONITA
Practice Address - State:CA
Practice Address - Zip Code:91902-2842
Practice Address - Country:US
Practice Address - Phone:619-479-8824
Practice Address - Fax:619-479-8824
Is Sole Proprietor?:No
Enumeration Date:2008-11-06
Last Update Date:2008-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered