Individual
ALEXANDRA J WYNNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED DIETICIAN
Contact information
Practice address
5107 MEDICAL DRIVE, SAN ANTONIO, TX 78229
(210) 614-8612
(210) 615-5596
Mailing address
5107 MEDICAL DRIVE, SAN ANTONIO, TX 78229
(210) 614-8612
(210) 615-5596
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
08/29/2006
Last updated
07/08/2007
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