Individual
STEPHANIE SKONOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
2200 SPRINGPORT RD, JACKSON, MI 49202-1432
(517) 784-9356
Mailing address
2200 SPRINGPORT RD, JACKSON, MI 49202-1432
(517) 784-9356
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
708256
—
Other
Enumeration date
05/21/2007
Last updated
07/08/2007
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