STACY BACK

SOMERSET, KY
NPI1457768699
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: KY  1384)
Enumeration Date2014-07-21
Last Update Date2014-07-21
Business Address
-- STACY BACK MS,RD,LD
2441 S HIGHWAY 27
SOMERSET, KY 42501-2935
Phone number: 606-677-4068
Mailing Address
-- STACY BACK MS,RD,LD
2441 S HIGHWAY 27
SOMERSET, KY 42501-2935
Phone number: 606-677-4068
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