Individual
MISS ALEXA M GANDARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
8900 VAN WYCK EXPY, RICHMOND HILL, NY 11418-2897
(718) 206-6023
Mailing address
419 JEFFERSON AVE APT 4F, BROOKLYN, NY 11221-3296
(210) 891-6273
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
06/27/2024
Last updated
06/27/2024
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