Individual
STEFANIA IACONO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
2515 AVON RD, ARDMORE, PA 19003-3012
(484) 574-6852
Mailing address
45 CREEKSIDE LN UNIT 334, MALVERN, PA 19355-3272
(484) 574-6852
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
PA
Other
Enumeration date
09/01/2017
Last updated
07/18/2024
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