Individual
ALEXANDRA BELISO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
30 E SYCAMORE ST, HAZLEHURST, GA 31539-6162
(912) 375-2425
Mailing address
604 RIVERSIDE AVE, WAYCROSS, GA 31501-5323
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
12/19/2019
Last updated
12/19/2019
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