Individual
CRYSTAL MIDDLETON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1 JEFFERSON BARRACKS DR, SAINT LOUIS, MO 63125-4181
(314) 652-4100
Mailing address
1325 CENTERPOINT CIR APT 203, SHILOH, IL 62269-2170
(618) 201-1432
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164005204
IL
Other
Enumeration date
05/03/2022
Last updated
04/22/2024
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