Individual
STEPHANIE A HOMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
144 STATE ST, PORTLAND, ME 04101-3776
(207) 879-3604
(207) 879-3959
Mailing address
144 STATE ST, PORTLAND, ME 04101-3776
(207) 879-3604
(207) 879-3959
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
D1755
ME
133V00000X
Registered Dietitian
DI755
ME
Other
Enumeration date
06/14/2007
Last updated
09/03/2015
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