Most Relevant Information
Provider Data
| NPI Number: | 1003413204 |
| Provider Name: | JESSICA STAMM RDN |
| Entity Type: | Individual |
| Taxonomy Code: | 133V00000X |
| Specialty: | Dietitian, Registered |
| License Number: | 86060088 |
Most Important Dates
| Enumeration Date: | 10/01/2020 |
| Last Updated: | 10/01/2020 |
Provider Practice Location
2325 LOS AMIGOS ST
LA CRESCENTA
CA
912143030
Practice Location Phone/Fax
| Phone: | 8187263711 |
| Fax: |
Provider Mailing Location
2325 LOS AMIGOS ST
LA CRESCENTA
CA
912143030
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |