Individual
STACEY R HOFFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2551
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
223628000
—
MN
Enumeration date
07/04/2006
Last updated
08/19/2008
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