Provider Demographics
NPI:1669732160
Name:TALLYN, ALLISON SARA (RD)
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:SARA
Last Name:TALLYN
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3328 ARROYO CT
Mailing Address - Street 2:
Mailing Address - City:DAVIS
Mailing Address - State:CA
Mailing Address - Zip Code:95618-7100
Mailing Address - Country:US
Mailing Address - Phone:530-902-5187
Mailing Address - Fax:
Practice Address - Street 1:970 PLUMAS ST
Practice Address - Street 2:
Practice Address - City:YUBA CITY
Practice Address - State:CA
Practice Address - Zip Code:95991-4019
Practice Address - Country:US
Practice Address - Phone:530-749-4336
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-05-18
Last Update Date:2012-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered