Individual
MARIA STUKENBORG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RDN
Contact information
Practice address
9040 JACKSON AVE, TACOMA, WA 98431-1000
(336) 529-7911
Mailing address
9040 JACKSON AVE, TACOMA, WA 98431-1000
(336) 529-7911
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/29/2018
Last updated
11/27/2019
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