Individual
STEPHANIE BRENING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NUTRITIONIST
Contact information
Practice address
940 POINT LAWRENCE RD, OLGA, WA 98279-9551
(303) 709-3193
Mailing address
940 POINT LAWRENCE RD, OLGA, WA 98279-9551
(303) 709-3193
Taxonomy
Speciality
Code
Description
License number
State
405300000X
Prevention Professional
Primary
2646
WA
Other
Enumeration date
09/28/2020
Last updated
09/28/2020
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