NPI 1225607153

Allex Candra Stam, RD

Practitioner Registered Dietitian Matthews, NC

Practice location

Address: 1450 Matthews Township Pkwy STE 110, Matthews, NC 28105-2388
Phone: (704) 316-7760
Mailing address: PO Box 60447, Charlotte, NC 28260-0447

Registered specialties

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence L0066006 (NC)

Other Dietitian, Registered providers in North Carolina →

Registry record

NPI: 1225607153
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 Jun 2021
Record last updated: 2 Nov 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.