Individual
MALLORY LORRAINE REEVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1001 S KNIK GOOSE BAY RD, WASILLA, AK 99654-8083
(907) 631-7654
Mailing address
7033 E TUDOR RD, ANCHORAGE, AK 99507-1262
(907) 729-7408
(907) 729-8607
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
200121
AK
Other
Enumeration date
10/12/2022
Last updated
10/12/2022
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