Individual
STEFANIE QUINN BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., R.D.
Contact information
Practice address
1201 S MILLER ST, WENATCHEE, WA 98801-3201
(509) 662-1511
Mailing address
820 N CHELAN AVE, WENATCHEE, WA 98801-2028
(509) 663-8711
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI60610909
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1154780658
—
WA
01
—
P01674680
RR PTAN WVH
WA
Enumeration date
02/12/2016
Last updated
08/08/2016
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