Individual
STEFANIE PROKOPIOU BOISVERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LD, MPH
Contact information
Practice address
220 DRY CANYON DR, WENDELL, NC 27591-3312
(713) 240-2953
Mailing address
220 DRY CANYON DR, WENDELL, NC 27591-3312
(713) 240-2953
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
DT84663
TX
133V00000X
Registered Dietitian
Primary
L005093
NC
Other
Enumeration date
02/21/2018
Last updated
02/26/2024
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