Individual
MARILOU RUTH STOCKTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
PO BOX 1045, NAMPA, ID 83653-1045
(208) 724-0165
Mailing address
PO BOX 1045, NAMPA, ID 83653-1045
(208) 724-0165
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
D-1520
ID
Other
Enumeration date
01/07/2025
Last updated
01/07/2025
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