Individual
MS. SUSANNE STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LD/CDE
Contact information
Practice address
4881 SUGAR MAPLE DR, WRIGHT PATTERSON AFB, OH 45433-5529
(937) 257-8815
Mailing address
5107 MEDICAL DR, SAN ANTONIO, TX 78229-4801
(210) 615-5575
(210) 615-5596
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT80702
TX
Other
Enumeration date
03/25/2008
Last updated
09/27/2018
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