Individual
MISS NATHENE LYNNE STARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
1030 JEFFERSON AVE, N&FS (120), MEMPHIS, TN 38104-2127
(901) 523-8990
(901) 577-7413
Mailing address
7626 DEXTER RUN CIR, CORDOVA, TN 38016-8754
(901) 753-1308
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LDN0000000603
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
447145
REGISTED DIETITIAN
—
01
—
LDN0000000603
LICENSED DIETITIAN/NUTRIT
TN
Enumeration date
08/08/2006
Last updated
07/08/2007
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