Individual
STEPHANIE WHITTAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1 HOSPITAL PLZ, GRAFTON, WV 26354-1283
(304) 265-0400
Mailing address
1 HOSPITAL PLZ, GRAFTON, WV 26354-1283
(304) 265-0400
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
755
WV
Other
Enumeration date
01/15/2014
Last updated
03/05/2014
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