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Individual

ALEJANDRA JOSELIE AGUAYO RODRIGUEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BACHELORS

Contact information

Practice address
111 SE 22ND ST STE 11, BENTONVILLE, AR 72712-5180
(479) 289-8465
Mailing address
1137 S SHERMAN AVE, FAYETTEVILLE, AR 72701-1108
(479) 249-4234

Taxonomy

Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
PLD314
AR

Other

Enumeration date
09/26/2022
Last updated
09/26/2022
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