Individual
ALEXA TILETILE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
222 W 39TH AVE, SAN MATEO, CA 94403-4364
(650) 573-2222
Mailing address
222 W 39TH AVE, SAN MATEO, CA 94403-4364
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86115714
CA
Other
Enumeration date
11/12/2024
Last updated
11/12/2024
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