Individual
MISS STEPHANIE NICOLE RUPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
10808 FORT STREET, OMAHA, NE 68164
(402) 493-2089
Mailing address
10808 FORT STREET, OMAHA, NE 68164
(402) 493-2089
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1108
NE
Other
Enumeration date
11/21/2013
Last updated
07/24/2014
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