Individual
STEPHANIE HAGGERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
1601 SALMON CREEK LN, JUNEAU, AK 99801-7867
(907) 586-1203
Mailing address
641 HEMLOCK ST, JUNEAU, AK 99801-1436
(907) 500-4608
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
325
AK
Other
Enumeration date
04/10/2014
Last updated
04/10/2014
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