Individual
STEFANA FANELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
25710 KELLY RD STE 1, ROSEVILLE, MI 48066-4959
(586) 772-2600
(586) 772-5289
Mailing address
25710 KELLY RD STE 1, ROSEVILLE, MI 48066-4959
(586) 772-2600
(586) 772-5289
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86102779
MI
Other
Enumeration date
04/01/2021
Last updated
04/01/2021
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