Individual
ALICE KATHLEEN MOORE-GREGORY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN, LD
Contact information
Practice address
67 CARLISLE RD, TIJERAS, NM 87059-8025
(505) 410-1922
Mailing address
67 CARLISLE RD, TIJERAS, NM 87059-8025
(505) 410-1922
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1290
NM
Other
Enumeration date
09/22/2025
Last updated
09/22/2025
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