Individual
CAROLYN ANNE STOCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
5151-NU-NU
MA
133VN1501X
Sports Dietetics Nutrition Registered Dietitian
Primary
5151-NU-NU
MA
Other
Enumeration date
09/10/2020
Last updated
09/10/2020
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