Individual
ALEXIS JEAN IRVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
10 WILCOX MNR, PAWCATUCK, CT 06379-1813
(860) 884-3407
Mailing address
10 WILCOX MNR, PAWCATUCK, CT 06379-1813
(860) 884-3407
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
001932
CT
Other
Enumeration date
04/23/2021
Last updated
08/31/2023
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