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Individual

ALEXANDRA ANTOLOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RD

Contact information

Practice address
475 SPRING LN, PHILADELPHIA, PA 19128-3918
(215) 482-5353
Mailing address
475 SPRING LN, PHILADELPHIA, PA 19128-3918

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN006695
PA

Other

Enumeration date
07/11/2019
Last updated
07/11/2019
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