Individual
MARY GILCREASE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD
Contact information
Practice address
1 CHILDREN'S PLACE, ST. LOUIS, MO 63110-1077
(314) 454-4760
Mailing address
1 CHILDREN'S HOSPITAL, ST. LOUIS, MO 63110
Taxonomy
Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
2001031083
MO
Other
Enumeration date
08/31/2016
Last updated
08/31/2016
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