Provider Demographics
NPI:1679067359
Name:SANCHEZ, ALEXANDRA CECILIA (MS, RD, LDN)
Entity Type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:CECILIA
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:MS, RD, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:450B PARADISE RD # 233
Mailing Address - Street 2:
Mailing Address - City:SWAMPSCOTT
Mailing Address - State:MA
Mailing Address - Zip Code:01907-1300
Mailing Address - Country:US
Mailing Address - Phone:781-469-1088
Mailing Address - Fax:781-404-8408
Practice Address - Street 1:450B PARADISE RD # 233
Practice Address - Street 2:
Practice Address - City:SWAMPSCOTT
Practice Address - State:MA
Practice Address - Zip Code:01907-1300
Practice Address - Country:US
Practice Address - Phone:781-469-1088
Practice Address - Fax:781-404-8408
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-18
Last Update Date:2023-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered