Individual
STEPHANIE PAIGE SYNHORST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
224 W D. L. INGRAM AVENUE, CANNON AIR FORCE BASE, NM 88103
(402) 310-2933
Mailing address
224 W D. L. INGRAM AVENUE, CANNON AIR FORCE BASE, NM 88103
(402) 310-2933
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1311
NE
Other
Enumeration date
01/12/2021
Last updated
01/12/2021
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