Individual
MRS. STACEY LYNN HOSTETTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
2305 S 65 HIGHWAY, MARSHALL, MO 65340
(660) 886-7431
(660) 831-0851
Mailing address
2305 S 65 HIGHWAY, MARSHALL, MO 65340
(660) 886-7431
(660) 831-0851
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2000174576
MO
Other
Enumeration date
04/25/2006
Last updated
07/08/2007
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