Most Relevant Information
Provider Data
| NPI Number: | 1003446329 |
| Provider Name: | ALEXIS ANN ALLEN RDN |
| Entity Type: | Individual |
| Taxonomy Code: | 133V00000X |
| Specialty: | Dietitian, Registered |
| License Number: |
Most Important Dates
| Enumeration Date: | 01/26/2020 |
| Last Updated: | 01/26/2020 |
Provider Practice Location
1749 38TH ST S
FARGO
ND
581034442
Practice Location Phone/Fax
| Phone: | 7014176536 |
| Fax: |
Provider Mailing Location
1749 38TH ST S
FARGO
ND
581034442
Provider Mailing Phone/Fax
| Phone: | 7014176536 |
| Fax: |