Individual
STEPHANIE LUND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
211 BELL RD NE, LUDOWICI, GA 31316-1725
(408) 843-3971
Mailing address
211 BELL RD NE, LUDOWICI, GA 31316-1725
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
Other
Enumeration date
09/17/2014
Last updated
09/17/2014
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