Stacy Lynn Wellman, MS RD LD
NPI #1114110905 in Grafton, West Virginia
Provider Information
- NPI Number
- 1114110905
- Entity Type
- Individual
- Name
- Stacy Lynn Wellman, MS RD LD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dietitian, Registered
- Credential
- MS RD LD
- Enumeration Date
- Aug 24, 2007
- Last Updated
- Sep 24, 2008
Practice Location
- Address
- 500 MARKET ST
- City
- Grafton
- State
- West Virginia
- ZIP Code
- 26354-1184
- Phone
- (304) 265-6436
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dietitian, Registered |
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