Individual
ALEXANDRA GUMEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
808 N CEDAR ST, SUMMERVILLE, SC 29483-6606
(201) 566-0120
Mailing address
277 PEMBERLY BLVD, SUMMERVILLE, SC 29486-7780
(201) 566-0120
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1650
SC
133VN1004X
Pediatric Nutrition Registered Dietitian
1650
SC
133VN1005X
Renal Nutrition Registered Dietitian
1650
SC
133VN1006X
Metabolic Nutrition Registered Dietitian
1650
SC
Other
Enumeration date
09/16/2017
Last updated
03/17/2018
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