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Individual
MS. RENEE A. STASKO
Active
Individual
MS. RENEE A. STASKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD LDN
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
D01181
MD
133V00000X
Registered Dietitian
Primary
DN002185
PA
Other
Enumeration date
06/08/2010
Last updated
06/08/2010
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