STACI MARIE TROFIMOV

LOUISVILLE, KY
NPI1952830135
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: KY  173141)
Enumeration Date2017-06-09
Last Update Date2022-07-21
Business Address
Mrs. STACI MARIE TROFIMOV MS, RD
13008 WILLOW FOREST DRIVE
LOUISVILLE, KY 40245
Phone number: 903-742-5916
Mailing Address
Mrs. STACI MARIE TROFIMOV MS, RD
13008 WILLOW FOREST DR
LOUISVILLE, KY 40245-1982
Phone number: 903-742-5916