Individual
ALEXIS GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
1503 ELIZABETH AVE, RUSTON, LA 71270-4102
(903) 824-4690
Mailing address
1503 ELIZABETH AVE, RUSTON, LA 71270-4102
(903) 824-4690
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
3320
LA
Other
Enumeration date
04/26/2023
Last updated
04/26/2023
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