Individual
STEPHANIE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3533 S ALAMEDA ST, CORPUS CHRISTI, TX 78411-1721
(734) 890-2132
Mailing address
3018 AUSTIN ST, CORPUS CHRISTI, TX 78404-2413
Taxonomy
Speciality
Code
Description
License number
State
133VN1401X
Pediatric Critical Care Nutrition Registered Dietitian
Primary
DT86574
TX
Other
Enumeration date
10/30/2023
Last updated
10/30/2023
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