Individual
STEPHANIE MACHACEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CNS
Contact information
Practice address
912 PALMDALE CT, BOILING SPRINGS, SC 29316-6149
(651) 246-4856
Mailing address
912 PALMDALE CT, BOILING SPRINGS, SC 29316-6149
(651) 246-4856
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
—
—
Other
Enumeration date
10/13/2022
Last updated
10/13/2022
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