Individual
MRS. STEPHANIE CHRISTINE MIRICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
F.N.S
Contact information
Practice address
1709 VALLEY VIEW AVE, BELMONT, CA 94002-1939
(650) 888-3632
Mailing address
1709 VALLEY VIEW AVE, BELMONT, CA 94002-1939
(650) 888-3632
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
1427813
CA
Other
Enumeration date
10/08/2012
Last updated
10/08/2012
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