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Organization
VALLEY REGISTERED DIETITIAN NETWORK
Active
Organization
VALLEY REGISTERED DIETITIAN NETWORK
Active
Other names
VRDN
Organization subpart
No
Provider details
NPI number
Authorized official
MACIE YOUNG (PRACTICE MANAGER)
(916) 407-6732
Entity
Organization
Contact information
Practice address
1805 N CALIFORNIA ST STE 308, STOCKTON, CA 95204-6032
(209) 227-0722
(866) 862-8832
Mailing address
1805 N CALIFORNIA ST STE 308, STOCKTON, CA 95204-6032
(209) 227-0722
(866) 862-8832
Taxonomy
Speciality
Code
Description
License number
State
133VN1301X
Oncology Nutrition Registered Dietitian
Primary
—
NULL
133VN1301X
Oncology Nutrition Registered Dietitian
Primary
—
—
Other
Enumeration date
11/09/2021
Last updated
04/24/2026
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