Individual
LISSETTE CORNEJO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, CSSD
Contact information
Practice address
8400 DELMAR BLVD APT 523, SAINT LOUIS, MO 63124-2344
(407) 716-3006
Mailing address
8400 DELMAR BLVD APT 523, SAINT LOUIS, MO 63124-2344
Taxonomy
Speciality
Code
Description
License number
State
133VN1501X
Sports Dietetics Nutrition Registered Dietitian
Primary
—
—
Other
Enumeration date
12/17/2024
Last updated
12/17/2024
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