Individual
STEPHANIE ELIZABETH STANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RDN, LD
Contact information
Practice address
1000 GREG KRUSCHEK AVE, NOME, AK 99762-2046
(907) 443-8903
(907) 443-4571
Mailing address
PO BOX 2046, NOME, AK 99762-2046
(907) 443-8903
(907) 443-4571
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
117993
AK
Other
Enumeration date
02/13/2017
Last updated
02/13/2017
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