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MS. STEPHANIE ANN BOST RD

>> Dietitian, Registered >> Dietary & Nutritional Service Providers

Registrant NPI Number: 1295070290

Individual Registrant:
MS. STEPHANIE ANN BOST RD
Gender: F
Not Sole Proprietor

Location and contact information for practice:
3401 BEECH ST.  MCCLELLAN, CA 95652 US
Tel: 916-640-8050  Fax: --

Contact information for business:
3401 BEECH ST.  MCCLELLAN, CA 95652 US
Tel: --  Fax: --

Registration Information:
NPI: 1295070290
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y133V00000XDietary & Nutritional Service Providers
Dietitian, Registered
CA962816

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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