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Individual

JESSE STOAKES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C, RD

Contact information

Practice address
6621 FANNIN ST, HOUSTON, TX 77030-2358
(601) 320-3215
Mailing address
625 W 21ST ST, HOUSTON, TX 77008-3643
(601) 320-3215

Taxonomy

Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
DT83282
TX
363A00000X
Physician Assistant
Primary

Other

Enumeration date
07/10/2014
Last updated
12/12/2023
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