Individual
ALEXA RAE ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RDN, LDN
Contact information
Practice address
904 ELMWOOD AVE APT 2, EVANSTON, IL 60202-4956
(734) 474-7123
Mailing address
904 ELMWOOD AVE APT 2, EVANSTON, IL 60202-4956
(734) 474-7123
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164008000
IL
Other
Enumeration date
01/06/2023
Last updated
01/06/2023
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