Individual
STEPHANIE ANNETTE MOYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD, RD
Contact information
Practice address
1501 SAN PEDRO DR SE, ALBUQUERQUE, NM 87108-5153
(505) 265-1711
(505) 256-5455
Mailing address
865 SILVER AVE SW, ALBUQUERQUE, NM 87102-3020
(480) 703-7980
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
933782
AZ
Other
Enumeration date
07/04/2006
Last updated
03/12/2008
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