Individual
ALEXIS BIANCA WELLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPH, RD,LD
Contact information
Practice address
14111 VANCE JACKSON RD APT 12107, SAN ANTONIO, TX 78249-2173
(956) 455-3142
Mailing address
14111 VANCE JACKSON RD APT 12107, SAN ANTONIO, TX 78249-2173
(956) 455-3142
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86119535
TX
Other
Enumeration date
01/12/2020
Last updated
01/12/2020
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