Individual
STEPHANIE MARIE BODNAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
1991 SPROUL RD, BROOMALL, PA 19008-3512
(610) 202-3476
Mailing address
22 BARBARA DR, SPRINGFIELD, PA 19064-3602
(610) 202-3476
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86051787
PA
Other
Enumeration date
04/11/2018
Last updated
01/26/2023
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