Individual
REBECCA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
9412 TWIN SPRUCE DR, SAINT LOUIS, MO 63126-2826
(314) 482-8990
Mailing address
9412 TWIN SPRUCE DR, SAINT LOUIS, MO 63126-2826
(314) 482-8990
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2001015185
MO
Other
Enumeration date
11/02/2023
Last updated
11/02/2023
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