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MS. STEPHANIE ANN BOST RD
>> Dietitian, Registered >> Dietary & Nutritional Service ProvidersRegistrant NPI Number: 1295070290
Individual Registrant:MS. STEPHANIE ANN BOST RD
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
3401 BEECH ST. MCCLELLAN, CA 95652 US
Tel: 916-640-8050 Fax: --
Tel: 916-640-8050 Fax: --
Contact information for business:
3401 BEECH ST. MCCLELLAN, CA 95652 US
Tel: -- Fax: --
Tel: -- Fax: --
Registration Information:
NPI: 1295070290
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 133V00000X | Dietary & Nutritional Service Providers Dietitian, Registered | CA | 962816 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
