Individual
KATHLEEN M STANSFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
279 3RD AVE, STE 604, LONG BRANCH, NJ 07740-6205
(732) 222-4474
(732) 222-4472
Mailing address
PO BOX 8000, DEPT 596, BUFFALO, NY 14267-0002
(866) 295-0041
(708) 342-2517
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
722296
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
722296
REGISTERD DIETITION
NJ
Enumeration date
04/20/2007
Last updated
10/14/2011
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