Individual
KESTREL M STOCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 N MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113-1103
(801) 662-1000
Mailing address
11345 S 1300 E, PARADISE, UT 84328-9001
(435) 363-5929
Taxonomy
Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
14214302-4901
UT
Other
Enumeration date
03/31/2025
Last updated
03/31/2025
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