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Wayne Stackhouse
NPI 1073404380 · on the registry since 2025 · sole proprietor
Practice
- Address
- 3213 N 27th St
Philadelphia, PA 19129 - Phone
- (267) 742-4163
- Fax
- (267) 742-4163
Registry record
- Primary taxonomy
- Nutritionist
133N00000X
- Licence states on file
- PA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-07-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania