Individual
MRS. STEPHANIE LEE-ANNE FAYARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
10614 LIMU WAY, DIAMONDHEAD, MS 39525-4313
(850) 499-0988
Mailing address
10614 LIMU WAY, DIAMONDHEAD, MS 39525-4313
(850) 499-0988
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
853196
—
133V00000X
Registered Dietitian
Primary
ND5309
FL
Other
Enumeration date
03/03/2008
Last updated
03/25/2026
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