Individual
MRS. STACEY LEE RICHMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1170 MAIN ST, WEST BARNSTABLE, MA 02668-1162
(508) 362-1221
(508) 362-5858
Mailing address
1170 MAIN ST, WEST BARNSTABLE, MA 02668-1162
(508) 362-1221
(508) 362-5858
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1496
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
39271
HARVARD PILGRIM ID#
MA
Enumeration date
04/10/2007
Last updated
09/03/2019
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