Individual
MS. MARY GRACE HALLARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
3437 CAROLINE ST, ROOM 3076, SAINT LOUIS, MO 63104-1111
(314) 977-8523
Mailing address
3437 CAROLINE ST, ROOM 3076, SAINT LOUIS, MO 63104-1111
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86043967
CA
Other
Enumeration date
12/08/2016
Last updated
12/08/2016
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