Individual
STACEY MARIE CANFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
300 PINE ST, REAR, TAYLOR, PA 18517-1122
(570) 677-7729
Mailing address
300 PINE STREET, REAR, TAYLOR, PA 18517
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN004249
PA
Other
Enumeration date
06/09/2010
Last updated
11/30/2015
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