# VALLEY REGISTERED DIETITIAN NETWORK

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- **Entity:** Organization
- **Status:** Active
- **Other names:** VRDN
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831855311
- **Authorized official:** MACIE YOUNG (PRACTICE MANAGER)
- **Authorized official phone:** (916) 407-6732

## Contact information

- **Practice address:** 1805 N CALIFORNIA ST STE 308, STOCKTON, CA 95204-6032
- **Practice address phone:** (209) 227-0722
- **Practice address fax:** (866) 862-8832
- **Mailing address:** 1805 N CALIFORNIA ST STE 308, STOCKTON, CA 95204-6032
- **Mailing address phone:** (209) 227-0722
- **Mailing address fax:** (866) 862-8832

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 133VN1301X | Oncology Nutrition Registered Dietitian | — | NULL | Yes |
| 133VN1301X | Oncology Nutrition Registered Dietitian | — | — | Yes |

## Other

- **Enumeration date:** 11/09/2021
- **Last updated:** 04/24/2026