STEPHANIE SHADDEN ROARK

JOHNSON CITY, TN
NPI1639873235
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: TN  4588)
Enumeration Date2023-03-28
Last Update Date2024-01-25
Business Address
MRS. STEPHANIE SHADDEN ROARK RD
325 N STATE OF FRANKLIN RD FL 1
JOHNSON CITY, TN 37604-6056
Phone number: 423-439-7272
Mailing Address
MRS. STEPHANIE SHADDEN ROARK RD
950 SHADDEN RD
GRAY, TN 37615-4240
Phone number: 423-791-1263
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