Individual
ALEXANDRA BRYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
221 NE GLEN OAK AVE, PEORIA, IL 61636-0001
(309) 672-4570
Mailing address
807 HICKORY CREEK CT, GERMANTOWN HILLS, IL 61548-9088
(309) 657-4228
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
05/06/2020
Last updated
05/06/2020
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