Organization
BESPOKE FAMILY NUTRITION PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE DEMING RDN (OWNER)
(585) 455-3180
Entity
Organization
Contact information
Practice address
29 REDFERN DR, CHURCHVILLE, NY 14428-8901
(585) 455-3180
Mailing address
29 REDFERN DR, CHURCHVILLE, NY 14428-8901
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
09/08/2023
Last updated
09/08/2023
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