Individual
MRS. STEPHANIE KATHLEEN FONSECA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RDN, LDN, CPT
Contact information
Practice address
2883 CRESTWOOD TER, MARGATE, FL 33063-9353
(908) 906-9701
Mailing address
2883 CRESTWOOD TER, MARGATE, FL 33063-9353
(908) 906-9701
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND11467
FL
Other
Enumeration date
08/09/2022
Last updated
08/09/2022
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