Individual
PATRICIA RUZICKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
6121 N HANLEY RD, BERKELEY, MO 63134-2003
(314) 615-0557
Mailing address
4547 GIBSON AVE, SAINT LOUIS, MO 63110-1519
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2014033918
MO
Other
Enumeration date
09/28/2015
Last updated
09/28/2015
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