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Individual

MRS. STEPHANIE S MINA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RD

Contact information

Practice address
750 HEDGES LN, WAYNE, PA 19087-2003
(610) 613-3195
Mailing address
750 HEDGES LN, WAYNE, PA 19087-2003
(610) 613-3195

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN004776
PA

Other

Enumeration date
05/13/2013
Last updated
05/13/2013
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