Individual
ALEXANDRIA TAYLOR STACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7524 SUMMITVIEW DR, IRVING, TX 75063-3371
(972) 467-8699
Mailing address
7524 SUMMITVIEW DR, IRVING, TX 75063-3371
(972) 467-8699
Taxonomy
Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
—
TX
Other
Enumeration date
03/28/2021
Last updated
03/28/2021
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