Individual
MRS. RACHEL STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D., C.D.
Contact information
Practice address
2520 E DUPONT RD, FORT WAYNE, IN 46825-1675
(260) 416-3263
Mailing address
11726 PAINTED PEAK WAY, FORT WAYNE, IN 46845-2068
(260) 338-0872
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
37001460A
IN
Other
Enumeration date
03/11/2016
Last updated
03/11/2016
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