STACEY WISEMAN

BLOOMINGTON, IN
NPI1598364499
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: IN  37002257A)
Enumeration Date2020-10-21
Last Update Date2020-10-21
Business Address
STACEY WISEMAN MS, RD, CD
601 W 2ND ST
BLOOMINGTON, IN 47403-2317
Phone number: 812-353-4071
Mailing Address
STACEY WISEMAN MS, RD, CD
3125 E WILL SOWDERS RD
BLOOMINGTON, IN 47401-9021
Phone number:
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