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NPI Profile for ALEXANDRA JAY in BEND, OR.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Nutrition, Education |
133NN1002X |
| NPI # | 1033730171 |
|
| Status | Active | |
| Credentials | FNTP, RWP, CGP | |
| Entity | Individual | |
| Enumeration date | 04/29/2020 | |
| Last updated | 04/29/2020 - About 6 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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ALEXANDRA JAY, FNTP, RWP, CGP