Provider Demographics
NPI:1659954758
Name:STOKES, ROBERT (RD LDN)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:
Last Name:STOKES
Suffix:
Gender:M
Credentials:RD LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:123 AMBERLEIGH DR
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20905-5984
Mailing Address - Country:US
Mailing Address - Phone:202-779-6491
Mailing Address - Fax:
Practice Address - Street 1:123 AMBERLEIGH DR
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20905-5984
Practice Address - Country:US
Practice Address - Phone:202-779-6491
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-05
Last Update Date:2021-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDDX3831133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered