Individual
TRACI J STAMATAKOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
222 PIEDMONT AVE, CINCINNATI, OH 45219-4231
(513) 475-8523
(513) 475-7327
Mailing address
PO BOX 636256, CENTRAL CREDENTALING, CINCINNATI, OH 45263-6256
(513) 245-3104
(513) 585-5511
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD.6187
OH
133V00000X
Registered Dietitian
LP.10285-A
OH
Other
Enumeration date
02/05/2008
Last updated
08/18/2017
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