Individual
AMANDA RUTH STEGMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LDN
Contact information
Practice address
158 COTTAGE ST APT 1R, EAST BOSTON, MA 02128-3157
(207) 837-4080
Mailing address
158 COTTAGE ST APT 1R, EAST BOSTON, MA 02128-3157
(207) 837-4080
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
4793
MA
Other
Enumeration date
07/18/2019
Last updated
07/18/2019
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