Individual
SARA SHEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
12303 DE PAUL DR, BRIDGETON, MO 63044-2512
(314) 344-6373
Mailing address
1144 BRIARHURST DR, MANCHESTER, MO 63021-6836
(314) 825-7732
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2006001344
MO
Other
Enumeration date
12/10/2016
Last updated
12/10/2016
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