Individual
MS. ALEXANDRA BRADY JATZKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
2 PENN CTR STE 450, PHILADELPHIA, PA 19102-1733
(484) 450-8488
Mailing address
31 ASH AVE, WEST DEPTFORD, NJ 08096-6315
(856) 443-3995
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1091142
VA
Other
Enumeration date
04/05/2016
Last updated
04/19/2021
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