Individual
ELLEN REBECCA STAMERJOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN, LD
Contact information
Practice address
100 N CENTRAL EXPY STE 409, RICHARDSON, TX 75080-5311
(214) 838-8237
Mailing address
3400 HOWELL ST APT 441, DALLAS, TX 75204-3551
(217) 653-5338
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT86684
TX
Other
Enumeration date
10/21/2020
Last updated
10/29/2020
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