Individual
BETH E STEFURA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD.,LD
Contact information
Practice address
236 OLD OAK DR, CORTLAND, OH 44410-1122
(330) 727-6254
Mailing address
236 OLD OAK DR, CORTLAND, OH 44410-1122
(330) 727-6254
Taxonomy
Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
716810
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
#BC00304
BCMH
OH
Enumeration date
03/16/2009
Last updated
03/16/2009
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