Individual
STACY ROY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
1930 RAINIER CIR, PETALUMA, CA 94954-8510
(707) 337-3259
Mailing address
945 TARAVAL ST # 255, SAN FRANCISCO, CA 94116-2422
(415) 890-6720
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
—
—
Other
Enumeration date
11/24/2019
Last updated
11/24/2019
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