Doctor Name: | MCKINZIE ALSTON |
NPI Number: | 1669829370 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RDN |
License Number: | 860402473 |
Business Practice Address: | 1237 S Val Vista Dr Mesa, AZ - 852046401 |
Business Phone Number: | 4802946543 |
Business Fax Number: | 4802946544 |
Mailing Address: | Po Box 1564, MESA |
State: | AZ |
Postal Code: | 852111564 |
Phone Number: | 4802946543 |
Fax Number: | 4802946544 |
NPI Enumeration Date: | 05/23/2016 |
NPI Last Update Date: | 05/23/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 860402473 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | |
Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |