Individual
STEPHANIE NICOLE LIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN, CDN
Contact information
Practice address
825 W 187TH ST APT 7E, NEW YORK, NY 10033-1216
(734) 353-9033
Mailing address
825 W 187TH ST APT 7E, NEW YORK, NY 10033-1216
(734) 353-9033
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
011857-01
NY
Other
Enumeration date
02/15/2024
Last updated
02/15/2024
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