Individual
BIANCA ALEXA VIDAKOVIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
2105 SHAFER DR, MURFREESBORO, TN 37128-1102
(629) 251-0233
Mailing address
2105 SHAFER DR, MURFREESBORO, TN 37128-1102
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
5263
TN
Other
Enumeration date
09/12/2025
Last updated
09/12/2025
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