ALEXANDRA M JACK

VANCOUVER, WA
NPI1972674083
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: OR  560)
Enumeration Date2006-11-11
Last Update Date2013-10-10
Business Address
Mrs. ALEXANDRA M JACK RD
8716 E MILL PLAIN BLVD SPECIALTY CLINICS BUILDING
VANCOUVER, WA 98664-2531
Phone number: 360-514-7932
Mailing Address
Mrs. ALEXANDRA M JACK RD
8716 E MILL PLAIN BLVD SPECIALTY CLINICS BUILDING
VANCOUVER, WA 98664-2531
Phone number: 360-514-7932