Individual
MACIA NOORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
3639 HYDRAULIC AVE, SAINT LOUIS, MO 63116-4624
(616) 520-5765
Mailing address
3639 HYDRAULIC AVE, SAINT LOUIS, MO 63116-4624
(616) 520-5765
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
08/28/2020
Last updated
09/13/2024
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