Individual
SHANNON HAYES BUESCHER I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3 THE PINES CT STE B, SAINT LOUIS, MO 63141-6081
(314) 578-7429
Mailing address
3 THE PINES CT STE B, SAINT LOUIS, MO 63141-6081
(314) 578-7429
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
891963
MO
Other
Enumeration date
08/21/2019
Last updated
08/21/2019
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