Individual
VALARIE KORNBLET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNC
Contact information
Practice address
463 RIDGECORDE PL, SAINT LOUIS, MO 63141-7609
(314) 853-0051
Mailing address
463 RIDGECORDE PL, SAINT LOUIS, MO 63141-7609
(314) 853-0051
Taxonomy
Speciality
Code
Description
License number
State
132700000X
Dietary Manager
—
—
133N00000X
Nutritionist
1220823249
MO
133NN1002X
Nutrition Education Nutritionist
1220823249
MO
171M00000X
Case Manager/Care Coordinator
Primary
—
—
171WH0202X
Home Modifications Contractor
—
—
172V00000X
Community Health Worker
—
—
251B00000X
Case Management Agency
—
—
Other
Enumeration date
06/29/2022
Last updated
11/13/2023
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