Individual
ALAINA GRACE WATERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
7651 GATE PKWY APT 609, JACKSONVILLE, FL 32256-4804
(912) 678-5316
Mailing address
7651 GATE PKWY APT 609, JACKSONVILLE, FL 32256-4804
(912) 678-5316
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
2558
MS
133V00000X
Registered Dietitian
Primary
LD006579
GA
Other
Enumeration date
05/09/2025
Last updated
05/09/2025
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