Individual
MISS STACEY EVANS HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
125 NATIONWIDE DR, LYNCHBURG, VA 24502-4272
(434) 200-7879
Mailing address
1901 TATE SPRINGS RD, LYNCHBURG, VA 24501-1109
(434) 200-7008
(434) 200-5459
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
00945239
VA
Other
Enumeration date
12/07/2016
Last updated
01/30/2020
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