Individual
PATRICIA STEFANKIEWICZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LDN CNSC
Contact information
Practice address
419 S 19TH ST, PHILADELPHIA, PA 19146-1415
(610) 812-9370
Mailing address
419 S 19TH ST, PHILADELPHIA, PA 19146-1415
(610) 812-9370
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
04/19/2012
Last updated
04/19/2012
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