Individual
MS. STEPHANIE M VANNEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
2817 REILLY ST, FORT BRAGG, NC 28310-7324
(910) 907-6134
Mailing address
2817 REILLY ST, FORT BRAGG, NC 28310-7324
(910) 907-6134
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
12/10/2008
Last updated
12/10/2008
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