Individual
MRS. STACI MARIE TROFIMOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD
Contact information
Practice address
13008 WILLOW FOREST DRIVE, LOUISVILLE, KY 40245
(903) 742-5916
Mailing address
13008 WILLOW FOREST DR, LOUISVILLE, KY 40245-1982
(903) 742-5916
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
173141
KY
Other
Enumeration date
06/09/2017
Last updated
07/21/2022
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