Individual
MRS. DEBORA LOUISE STUPIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD LDN
Contact information
Practice address
1099 OAK ST, INDIANA, PA 15701-1651
(844) 328-9473
(724) 224-0749
Mailing address
1099 OAK ST, INDIANA, PA 15701-1651
(844) 328-9473
(724) 224-0749
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
DN001744
PA
133V00000X
Registered Dietitian
Primary
DN001744
PA
Other
Enumeration date
05/30/2006
Last updated
12/03/2014
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