Individual
STEPHANIE DOLE DEMING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
29 REDFERN DR, CHURCHVILLE, NY 14428-8901
(585) 455-3180
Mailing address
29 REDFERN DR, CHURCHVILLE, NY 14428-8901
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
011104
NY
133V00000X
Registered Dietitian
Primary
86174863
NY
Other
Enumeration date
12/12/2022
Last updated
12/12/2022
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