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NPI Code Detail

MEDICARE: ALLISON LOUTANDA BOYD

MEDICARE: ALLISON LOUTANDA BOYD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1133V00000XRegistered Dietitian943612CA

General Provider Information

NPI Number : 1326234220
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALLISON LOUTANDA BOYD
Provider Business Mailing Address
First Line : PO BOX 255228
Second Line :
City : SACRAMENTO
State : CA
Zip : 95865-5228
Country : US
Telephone Number : 209-550-4755
Fax Number :
Provider Business Practice Location Address
First Line : 600 COFFEE RD
Second Line :
City : MODESTO
State : CA
Zip : 95355-4201
Country : US
Telephone Number : 209-550-4755
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/24/2007
Last Update Date : 05/11/2026

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Directions to “ ALLISON LOUTANDA BOYD ” Practice Location

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