Individual
STEPHANIE DENISE ENTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
250 ALPINE ST, PASADENA, CA 91106-3602
(310) 985-9985
Mailing address
4747 EL CABALLERO DR, TARZANA, CA 91356-4814
(310) 985-9985
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
818446
CA
374J00000X
Doula
Primary
6984
CA
Other
Enumeration date
10/09/2023
Last updated
06/10/2024
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