Individual
MRS. STACY SESLOWSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
4300 LAKESIDE DR UNIT 5, JACKSONVILLE, FL 32210-3364
(917) 306-1724
Mailing address
4300 LAKESIDE DR UNIT 5, JACKSONVILLE, FL 32210-3364
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
874642
NY
133V00000X
Registered Dietitian
ND9385
FL
Other
Enumeration date
09/21/2018
Last updated
08/13/2020
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