Individual
TERESA LYNN STANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1540 SPRING VALLEY DR, (120), HUNTINGTON, WV 25704-9300
(304) 429-6741
(304) 429-0264
Mailing address
1540 SPRING VALLEY DR, (120), HUNTINGTON, WV 25704-9300
(304) 429-6741
(304) 429-0264
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
709024
WV
Other
Enumeration date
08/09/2006
Last updated
07/08/2007
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