Individual
NICOLE STOKLOSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
100 BUSINESS CENTER DR, REISTERSTOWN, MD 21136-1229
(410) 833-0503
Mailing address
100 BUSINESS CENTER DR, REISTERSTOWN, MD 21136-1229
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DX3276
MD
Other
Enumeration date
02/28/2014
Last updated
02/28/2014
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