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Stephanie Macneill, RD

Dietitian, Registered in Clovis, CA. Individual provider (NPI-1).

NPI number1124769906
StatusActive
Last updated in NPPESApr 5, 2022

Details

NPI
1124769906
Entity type
Individual (NPI-1)
Name
Stephanie Macneill
Credential
RD
Sex
Female
Sole proprietor
No
Enumeration date
Apr 5, 2022
Certification date
Apr 5, 2022
Last updated
Apr 5, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
133V00000X Dietitian, Registered––Yes

Practice location

3174 Laverne Ave
Clovis, CA 93611-5283

Phone 562-896-2790

Mailing address

3174 Laverne Ave
Clovis, CA 93611-5283

Phone 562-896-2790

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