Individual
STEPHANIE PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
807 CHILDRENS WAY, JACKSONVILLE, FL 32207-8426
(904) 697-3600
(302) 651-4945
Mailing address
807 CHILDRENS WAY, JACKSONVILLE, FL 32207-8426
(904) 697-3600
(302) 651-4945
Taxonomy
Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
ND3220
FL
Other
Enumeration date
01/19/2015
Last updated
01/19/2015
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