Healthcare Provider Details

I. General information

NPI: 1942159579
Provider Name (Legal Business Name): MARGARET STOKLOSA WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/26/2026
Last Update Date: 01/26/2026
Certification Date: 01/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

310 MIDSUMMER DR
GAITHERSBURG MD
20878-5220
US

IV. Provider business mailing address

310 MIDSUMMER DR
GAITHERSBURG MD
20878-5220
US

V. Phone/Fax

Practice location:
  • Phone: 240-813-0485
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133N00000X
TaxonomyNutritionist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code133NN1002X
TaxonomyNutrition Education Nutritionist
License Number
License Number State

VIII. Authorized Official

Name: MARGARET STOKLOSA
Title or Position: CEO
Credential: MS, CNS, LDN
Phone: 708-567-5556