Individual
STEPHANIE SALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, RD, LD
Contact information
Practice address
1735 WAKEFIELD DR, BRANDON, FL 33511-2313
(315) 420-0488
Mailing address
1735 WAKEFIELD DR, BRANDON, FL 33511-2313
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND10692
FL
Other
Enumeration date
10/27/2021
Last updated
10/27/2021
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