Individual
JON KUANFUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1210 S BOYLE AVE, SAINT LOUIS, MO 63110-3814
(314) 825-9146
Mailing address
1210 S BOYLE AVE, SAINT LOUIS, MO 63110-3814
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
10/13/2020
Last updated
10/13/2020
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