Individual
ALEXANDRA JAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNTP, RWP, CGP
Contact information
Practice address
60973 WATERFRONT CT, BEND, OR 97702-7980
(805) 245-2540
Mailing address
60973 WATERFRONT CT, BEND, OR 97702-7980
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
—
—
Other
Enumeration date
04/29/2020
Last updated
04/29/2020
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