Stacey Fernandez, RD

NPI #1144191479 in Dexter, Michigan

Provider Information

NPI Number: 1144191479
Entity Type: Individual
Name: Stacey Fernandez, RD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dietitian, Registered
Credential: RD
Enumeration Date: Sep 17, 2025
Last Updated: Sep 17, 2025

Practice Location

Address: 8307 PARKRIDGE DR
City: Dexter
State: Michigan
ZIP Code: 48130-9397
Phone: (734) 945-2332

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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