Individual
ALEXANDRIA O'CONNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RDN, CSO
Contact information
Practice address
7302 43RD AVE, KENOSHA, WI 53142-4215
(262) 995-4200
Mailing address
7302 43RD AVE, KENOSHA, WI 53142-4215
(262) 995-4200
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
5182-29
WI
Other
Enumeration date
10/17/2024
Last updated
10/17/2024
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