Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SAMANTHA STOUGH, RD, CSG
ActiveGerontological Nutrition · YUBA CITY, CA
Registration Details
- NPI Number
- 1245941095
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 12, 2022 (3.3592658889309 yrs)
- Last Updated
- Jan 12, 2023
- Licenses
-
86014476 (AZ)86014476 (CA)
Practice Information
- Address
-
481 PLUMAS BLVD STE 202YUBA CITY, CA, 959915075Browse CA providers · Browse ZIP 95991
- Phone
- 5307492409
- Fax
- 5307514973
- Primary Specialty
-
Gerontological Nutrition
133VN1101X
- Additional Specialty
- Gerontological Nutrition
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.