Individual
MADELYN STOCKTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, RD, LD
Contact information
Practice address
1629 W PARK PL, OKLAHOMA CITY, OK 73106-4653
(405) 312-1132
Mailing address
1629 W PARK PL, OKLAHOMA CITY, OK 73106-4653
(405) 312-1132
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2658
OK
Other
Enumeration date
05/26/2022
Last updated
05/26/2022
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