Individual
CARLA JEAN STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, CD
Contact information
Practice address
5000 MEMORIAL DR, TWO RIVERS, WI 54241-3900
(920) 794-5114
(920) 794-5492
Mailing address
5000 MEMORIAL DR, TWO RIVERS, WI 54241-3900
(920) 794-5114
(920) 794-5492
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
930302
WI
Other
Enumeration date
09/10/2015
Last updated
09/10/2015
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