Individual
JESSICA STAVROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1145 RESERVOIR AVE STE 126, CRANSTON, RI 02920-6000
(401) 228-6010
Mailing address
1145 RESERVOIR AVE STE 126, CRANSTON, RI 02920-6000
(401) 228-6010
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LDN00780
RI
Other
Enumeration date
05/15/2024
Last updated
05/15/2024
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