Individual
STEPHANIE CLARA WYMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
1601 BRENNER AVE, BUILDING 10, SALISBURY, NC 28144-2515
(704) 638-4200
Mailing address
PO BOX 599, SALISBURY, NC 28145-0599
(704) 638-4200
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L004016
NC
Other
Enumeration date
04/19/2016
Last updated
04/19/2016
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