Individual
ALEJANDRA BARDALEZ TELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 265-0111
Mailing address
PO BOX 100325, GAINESVILLE, FL 32610-0325
(352) 265-0400
(352) 265-1071
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND9836
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114827400
—
FL
Enumeration date
02/13/2022
Last updated
02/13/2023
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