Individual
ALEXANDRA REVERENDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPH, IBCLC
Contact information
Practice address
20 PALMER CT, HOLMDEL, NJ 07733-1022
(732) 771-5269
Mailing address
PO BOX 7, MIDDLETOWN, NJ 07748-0007
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
NJ
Other
Enumeration date
02/02/2026
Last updated
02/02/2026
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