Individual
MRS. STEPHANIE ANNE YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.N., L.D./C.D.
Contact information
Practice address
1560 UNIVERSITY AVE, DUBUQUE, IA 52001-4790
(563) 589-2324
(563) 557-2878
Mailing address
1560 UNIVERSITY AVE, DUBUQUE, IA 52001-4790
(563) 589-2324
(563) 557-2878
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
072496
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
072496
STATE LICENSE
IA
Enumeration date
06/11/2014
Last updated
06/11/2014
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