Individual
THOMASINE SLATER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RDN, LD
Contact information
Practice address
17601 BURNHAM CT, CHESTERFIELD, MO 63005-4220
(636) 778-0556
Mailing address
17601 BURNHAM CT, CHESTERFIELD, MO 63005-4220
(636) 778-0556
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
164.006630
IL
133V00000X
Registered Dietitian
Primary
2011004779
MO
Other
Enumeration date
03/07/2016
Last updated
03/07/2016
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