Individual
MS. CAROLINE MARGARET MARY VAN MARRELO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS RD LD
Contact information
Practice address
4580 S LINDBERGH BLVD, SAINT LOUIS, MO 63127-1810
(314) 842-1300
Mailing address
816 N BOMPART AVE, WEBSTER GROVES, MO 63119-1953
(317) 963-0916
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2001001879
MO
Other
Enumeration date
03/22/2007
Last updated
07/08/2007
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