Individual
MRS. STEFANIE JEAN WISSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
820 MEMORIAL ST STE 1, PROSSER, WA 99350-2504
(509) 786-2010
(509) 788-1794
Mailing address
820 MEMORIAL ST STE 1, PROSSER, WA 99350-2504
(509) 786-2010
(509) 788-1794
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI60114384
WA
Other
Enumeration date
03/01/2011
Last updated
09/27/2023
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