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1992135933
STACY MARIE DEROSA
SAN FRANCISCO, CA
NPI
1992135933
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133VN1006X Dietitian, Registered, Nutrition, Metabolic
(Licence: CA 1018194)
Enumeration Date
2013-11-12
Last Update Date
2017-03-22
Business Address
-- STACY MARIE DEROSA R.D.
2100 WEBSTER ST SUITE 100
SAN FRANCISCO, CA 94115-2373
Phone number: 415-923-3154
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Mailing Address
-- STACY MARIE DEROSA R.D.
259 5TH AVE
SAN FRANCISCO, CA 94118-2307
Phone number:
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