Individual
STEPHANIE JUNE PENNYPACKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
2165 TUCKER ST APT 2318, DALLAS, TX 75214-0196
(940) 393-3728
Mailing address
2165 TUCKER ST APT 2318, DALLAS, TX 75214-0196
(940) 393-3728
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
Other
Enumeration date
08/24/2022
Last updated
08/24/2022
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