Individual
ALEXANDRA LAUREN FORNOF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
920 N HAMILTON RD, GAHANNA, OH 43230-1757
(614) 293-5123
(614) 293-4980
Mailing address
700 ACKERMAN RD STE 2120, COLUMBUS, OH 43202-1559
(614) 293-5123
(614) 293-4980
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD.10526
OH
Other
Enumeration date
04/04/2024
Last updated
08/07/2024
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