Stacie Vanessa Ellis, RDN, LD Valid NPI

Individual provider · Registered Dietitian · Cedar Hill, TX

NPI

1275917882

Type

Individual (Type 1)

Primary specialty

Registered Dietitian (Dietitian, Registered)

Specialty group

Dietary & Nutritional Service Providers

Taxonomy code

133V00000X

License number

DT83743 (TX)

Sex

Female

Sole proprietor

No

Enumerated

2015-07-13

Last updated

2023-11-30