Individual
MRS. CORAZON J REYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.,L.D.
Contact information
Practice address
6065 HELEN AVE, BERKELEY, MO 63134-2013
(314) 522-6410
(314) 522-0821
Mailing address
3973 LOCKPORT DR, BRIDGETON, MO 63044-2116
(314) 739-6332
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2001025465
MO
Other
Enumeration date
03/29/2007
Last updated
07/08/2007
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