Individual
STEPHANIE BALLESTEROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
313 WANDERING CIR, FRANKLIN, TN 37067-5763
(615) 585-4255
Mailing address
313 WANDERING CIR, FRANKLIN, TN 37067-5763
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
957139
TN
Other
Enumeration date
12/02/2013
Last updated
12/02/2013
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