Individual
MRS. STEPHANIE RACHELLE FOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD
Contact information
Practice address
10550 PARK RUN DR, LAS VEGAS, NV 89144-4575
(702) 515-6200
Mailing address
10550 PARK RUN DR, LAS VEGAS, NV 89144-4575
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1008901
OR
Other
Enumeration date
12/10/2015
Last updated
12/10/2015
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