Individual
STACI VILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
3301 67TH AVENUE PL, GREELEY, CO 80634-9535
(970) 381-8783
Mailing address
3301 67TH AVENUE PL, GREELEY, CO 80634-9535
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
13880101-4901
UT
Other
Enumeration date
04/08/2024
Last updated
04/08/2024
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