Individual
MRS. SUSAN ROLLO STEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., R.D., L.D.
Contact information
Practice address
1955 US 1 SOUTH, SUITE 200, ST. AUGUSTINE, FL 32086
(904) 829-8954
Mailing address
5517 LA SERENIDAD LN, ELKTON, FL 32033-4005
(904) 810-2165
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND2638
FL
Other
Enumeration date
09/06/2006
Last updated
07/08/2007
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