STACEY ANN VANDERWEL

CHARLOTTE, NC
NPI1629231683
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy133VN1004X Dietitian, Registered, Nutrition, Pediatric
(Licence: NC  L002810)
Enumeration Date2008-07-09
Last Update Date2008-07-09
Business Address
-- STACEY ANN VANDERWEL RD, CSP, LDN
505 EAST BLVD SUITE 200
CHARLOTTE, NC 28203-5105
Phone number: 704-542-2512
Mailing Address
-- STACEY ANN VANDERWEL RD, CSP, LDN
7225 DELOACH CT
CHARLOTTE, NC 28270-9514
Phone number: 704-340-1604
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