STEPHANIE NICOLE PUGH

TWIN FALLS, ID
NPI1528778933
Former NameSTEPHANIE NICOLE FITZGERALD
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy133N00000X Nutritionist
(Licence: ID  D-1209)
Enumeration Date2022-11-28
Last Update Date2022-11-28
Business Address
STEPHANIE NICOLE PUGH RDN
1153 TERRA AVE
TWIN FALLS, ID 83301-4734
Phone number: 208-607-5864
Mailing Address
STEPHANIE NICOLE PUGH RDN
1153 TERRA AVE
TWIN FALLS, ID 83301-4734
Phone number: 208-607-5864
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