Individual
MS. STEPHANIE MARIE CARTER
Active
Individual
MS. STEPHANIE MARIE CARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NDTR,CDM, CFPP, CPT
Taxonomy
Speciality
Code
Description
License number
State
132700000X
Dietary Manager
202214
MI
136A00000X
Registered Dietetic Technician
Primary
945321
MI
Other
Enumeration date
12/20/2017
Last updated
12/20/2017
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