Individual
STEPHANIE HACKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1400 NW 12TH AVE, MIAMI, FL 33136-1003
(305) 243-6006
(305) 243-3919
Mailing address
1400 NW 12TH AVE, MIAMI, FL 33136-1003
(305) 243-6006
(305) 243-3919
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND6705
FL
Other
Enumeration date
08/15/2014
Last updated
07/26/2019
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