Individual
ALIXANDRA BIANCA LEESTMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2202 S CEDAR ST STE 300, TACOMA, WA 98405-2318
(253) 301-5280
Mailing address
PO BOX 5299, MS: 737-3-PCON, TACOMA, WA 98415-0299
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI60943877
WA
Other
Enumeration date
04/17/2019
Last updated
04/17/2019
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