Individual
MS. ALEXANDRA NICOLE BUCCINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
9503 STATE RD APT 504, PHILADELPHIA, PA 19114-3047
(570) 236-9560
Mailing address
9503 STATE RD APT 504, PHILADELPHIA, PA 19114-3047
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86038342
PA
Other
Enumeration date
10/23/2017
Last updated
10/23/2017
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