Individual
STEPHANIE K BRENNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, LD/N
Contact information
Practice address
620 N WYMORE RD, MAITLAND, FL 32751-4268
(407) 647-4740
(407) 647-6415
Mailing address
435 PALM CREST LN, LAKE MARY, FL 32746-7105
(407) 489-8534
(407) 549-7207
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND 5088
FL
Other
Enumeration date
11/11/2009
Last updated
11/11/2009
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