Provider Demographics
NPI:1871304451
Name:VALDES, ALEXIA ALECIA (MS IN NUTRITION)
Entity type:Individual
Prefix:
First Name:ALEXIA
Middle Name:ALECIA
Last Name:VALDES
Suffix:
Gender:U
Credentials:MS IN NUTRITION
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5406 34TH AVENUE CT APT J202
Mailing Address - Street 2:
Mailing Address - City:GIG HARBOR
Mailing Address - State:WA
Mailing Address - Zip Code:98335-8296
Mailing Address - Country:US
Mailing Address - Phone:831-239-0728
Mailing Address - Fax:
Practice Address - Street 1:711 COURT A STE 100
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98402-5227
Practice Address - Country:US
Practice Address - Phone:253-503-8792
Practice Address - Fax:253-503-8791
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-14
Last Update Date:2025-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education