Individual
GRACE STOCKERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
2821 WOODLAWN AVE NW, CANTON, OH 44708-1423
(330) 479-4800
Mailing address
15240 WARWICK DR NW, CANAL FULTON, OH 44614-8524
(330) 936-7125
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86094757
OH
Other
Enumeration date
06/19/2020
Last updated
06/19/2020
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