Individual
ABIGAIL DEBERA HALLMARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RDN, LDN
Contact information
Practice address
3510 WYOMING ST APT A, SAINT LOUIS, MO 63118-2021
(814) 860-0291
Mailing address
3510 WYOMING ST APT A, SAINT LOUIS, MO 63118-2021
(814) 860-0291
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2019029413
MO
Other
Enumeration date
06/22/2020
Last updated
06/22/2020
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