| NPI | 1063800506 |
|---|---|
| Doing Business As | STACI GULBIN, RD |
| Entity Type | Organization |
| Authorized Contact | STEPHEN CLARKE Vice President 443-481-6476 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Enumeration Date | 2015-01-07 |
| Last Update Date | 2021-05-21 |