Individual
STELLA PIERCE WOLF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
23499 STABLEWOOD CIR, PASS CHRISTIAN, MS 39571-6805
(228) 760-0591
(228) 248-4453
Mailing address
23499 STABLEWOOD CIR, PASS CHRISTIAN, MS 39571-6805
(228) 760-0591
(228) 248-4453
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
800044
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
800044
REGISTERED DIETITICIAN
MS
Enumeration date
10/04/2012
Last updated
10/04/2012
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