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Individual

ALEXA BREANNE PULLEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RD

Contact information

Practice address
19239 DARBY RD, EAGLE RIVER, AK 99577
(907) 854-4482
Mailing address
12110 BUSINESS BLVD STE 6, PMB 189, EAGLE RIVER, AK 99577-7798
(907) 854-4482

Taxonomy

Speciality
Code
Description
License number
State
133N00000X
Nutritionist
145169
AK
133V00000X
Registered Dietitian
Primary
229812
AK
133V00000X
Registered Dietitian
DT86980
TX

Other

Enumeration date
04/16/2019
Last updated
11/20/2024
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