Individual
ALEXANDRA JEAN LEAVITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
4345 HARRISON BLVD # 101, OGDEN, UT 84403-3103
(385) 350-8500
Mailing address
971 S 800 W, BRIGHAM CITY, UT 84302-3042
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
12142067-4901
UT
172V00000X
Community Health Worker
—
—
Other
Enumeration date
01/31/2018
Last updated
06/30/2023
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