Individual
AMANDA JANE HUTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
211 SAINT FRANCIS DR, CAPE GIRARDEAU, MO 63703-5049
(573) 331-3000
Mailing address
211 SAINT FRANCIS DR, CAPE GIRARDEAU, MO 63703-5049
(573) 331-3000
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2004030920
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2004030920
STATE OF MISSOURI, DIVISION OF PROFESSIONAL REGISTRATION, LICENSE
MO
Enumeration date
02/05/2020
Last updated
02/05/2020
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