Organization
EXPEDITION NUTRITION SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN ANDREW KRONLAGE RDN (REGISTERED DIETITIAN)
(907) 513-7591
Entity
Organization
Contact information
Practice address
805 PENINSULA AVE APT 8, KENAI, AK 99611-6949
(907) 513-7591
Mailing address
805 PENINSULA AVE APT 8, KENAI, AK 99611-6949
(907) 513-7591
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
01/17/2024
Last updated
01/17/2024
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