WAYNE ANTHONY STACKHOUSE

PHILADELPHIA, PA
NPI1073404380
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy133N00000X Nutritionist
Enumeration Date2025-07-14
Last Update Date2025-07-14
Business Address
WAYNE ANTHONY STACKHOUSE
3213 N 27TH ST
PHILADELPHIA, PA 19129-1808
Phone number: 267-742-4163
Mailing Address
WAYNE ANTHONY STACKHOUSE
3213 N 27TH ST
PHILADELPHIA, PA 19129-1808
Phone number: 267-742-4163
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