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Individual

REUBY PHILICE STAVISS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RD

Contact information

Practice address
115 NORWOOD PARK S STE 110, NORWOOD, MA 02062-4633
(857) 352-2161
Mailing address
182 E 95TH ST APT 21A, NEW YORK, NY 10128-0207
(857) 352-2161

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary

Other

Enumeration date
04/21/2025
Last updated
04/21/2025
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Product
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