Individual
STEPHANIE COFFEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
1545 N ORANGE GROVE AVE, LOS ANGELES, CA 90046-2617
(858) 230-1477
Mailing address
PO BOX 461413, LOS ANGELES, CA 90046-9413
(858) 230-1477
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
Other
Enumeration date
06/14/2023
Last updated
06/14/2023
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