Alexandra J Wynne, Registered Dietician
Dietitian, Registered in San Antonio, TX. Individual provider (NPI-1).
NPI number1124136015
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1124136015
- Entity type
- Individual (NPI-1)
- Name
- Alexandra J Wynne
- Credential
- Registered Dietician
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 29, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | – | – | Yes |
Practice location
5107 Medical DriveSan Antonio, TX 78229
Phone 210-614-8612 · Fax 210-615-5596
Mailing address
5107 Medical DriveSan Antonio, TX 78229
Phone 210-614-8612 · Fax 210-615-5596
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