Individual
MRS. TRACY STOVER STAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
11120 TAMARRON PL, PARKER, CO 80138-3116
(303) 717-4391
Mailing address
11120 TAMARRON PL, PARKER, CO 80138-3116
(303) 717-4391
Taxonomy
Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
819174
—
Other
Enumeration date
10/13/2015
Last updated
10/13/2015
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