Organization
DOPANINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXA BREANNE PULLEN RD (REGISTERED DIETITIAN NUTRITIONIST)
(907) 854-4482
Entity
Organization
Contact information
Practice address
19239 DARBY RD, EAGLE RIVER, AK 99577
(907) 854-4482
Mailing address
12110 BUSINESS BLVD STE 6 PMB 189, EAGLE RIVER, AK 99577-7798
(907) 854-4482
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
—
—
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
05/14/2019
Last updated
11/20/2024
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