# NUTRA, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Nutrition Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982854121
- **Authorized official:** MR. HUGH J ST. ONGE (OWNER)
- **Authorized official phone:** (314) 482-0732

## Contact information

- **Practice address:** 14805 CLAYTON RD, CHESTERFIELD, MO 63017-7881
- **Practice address phone:** (636) 386-3333
- **Practice address fax:** (636) 527-2570
- **Mailing address:** 14805 CLAYTON RD, CHESTERFIELD, MO 63017-7881
- **Mailing address phone:** (636) 386-3333
- **Mailing address fax:** (636) 527-2570

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 17126991 | MO | Yes |

## Other

- **Enumeration date:** 09/24/2008
- **Last updated:** 09/24/2008