Individual
ALLEX CANDRA STAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1450 MATTHEWS TOWNSHIP PKWY STE 110, MATTHEWS, NC 28105-2388
(704) 316-7760
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L0066006
NC
Other
Enumeration date
06/24/2021
Last updated
11/02/2023
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