Individual
ALEXANDRA MARIE HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
530 S WAKARA WAY RM B140, SALT LAKE CITY, UT 84108-1213
(801) 441-0452
Mailing address
295 S CHIPETA WAY STE 248, SALT LAKE CITY, UT 84108-1287
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
11835538-4901
UT
Other
Enumeration date
01/27/2025
Last updated
01/27/2025
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