STEPHANIE LODGE

ATLANTA, GA
NPI1053166298
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy171400000X 
Additional Taxonomies133NN1002X Nutritionist Nutrition, Education
Enumeration Date2024-04-22
Last Update Date2024-04-22
Business Address
MS. STEPHANIE LODGE
2417 CHASTAIN DR NE # 2417
ATLANTA, GA 30342-4157
Phone number: 610-864-4344
Mailing Address
MS. STEPHANIE LODGE
2417 CHASTAIN DR NE # 2417
ATLANTA, GA 30342-4157
Phone number: 610-864-4344