Individual
JANESE STAMP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, LDN
Contact information
Practice address
3135 W 42ND ST, ERIE, PA 16506-5319
(908) 619-2688
Mailing address
3135 W 42ND ST, ERIE, PA 16506-5319
(908) 619-2688
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN008241
PA
Other
Enumeration date
09/25/2024
Last updated
09/25/2024
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