Individual
REBECA STEVENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1821 NE 62ND ST, FORT LAUDERDALE, FL 33308-2184
(757) 818-0605
Mailing address
1821 NE 62ND ST, FORT LAUDERDALE, FL 33308-2184
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
—
—
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
12/08/2019
Last updated
12/08/2019
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