Individual
ALEXANDRA DAVANZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LDN
Contact information
Practice address
1500 WALNUT ST STE 700N, PHILADELPHIA, PA 19102-3504
(347) 474-9019
Mailing address
1500 WALNUT ST STE 700N, PHILADELPHIA, PA 19102-3504
(347) 474-9019
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN005515
PA
Other
Enumeration date
08/20/2013
Last updated
09/05/2020
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