Individual
STEPHANIE SAULLO FELICIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD
Contact information
Practice address
1212 MANN DR STE 100, MATTHEWS, NC 28105-5511
(980) 292-0239
Mailing address
5819 CREOLA RD, CHARLOTTE, NC 28270-5223
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
100000406
DC
133V00000X
Registered Dietitian
Primary
L004596
NC
Other
Enumeration date
05/06/2016
Last updated
01/08/2019
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