Individual
MRS. TORI ONITA MINCEMEYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
2630 OLD ORCHARD RD, JACKSON, MO 63755-3824
(573) 517-8556
Mailing address
1615 BESSIE ST, CAPE GIRARDEAU, MO 63701-5201
(573) 517-8556
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
MO
Other
Enumeration date
11/15/2019
Last updated
11/15/2019
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