Alexis Waldbaum

NPI #1366952343 in Blue Bell, Pennsylvania

Provider Information

NPI Number: 1366952343
Entity Type: Individual
Name: Alexis Waldbaum
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dietitian, Registered
Enumeration Date: Oct 4, 2017
Last Updated: Mar 2, 2018

Practice Location

Address: 725 SKIPPACK PIKE STE 300
City: Blue Bell
State: Pennsylvania
ZIP Code: 19422-1749
Phone: (215) 628-4454

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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