Individual
ALEXANDRIA MATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LD
Contact information
Practice address
8207 HUDSON AVE STE D, LUBBOCK, TX 79423-2805
(432) 230-2893
Mailing address
9701 WACO AVE, LUBBOCK, TX 79423-4454
(432) 230-2893
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
08/18/2020
Last updated
08/18/2020
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