Individual
PAULA ANN VANDELICHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D. L.D.
Contact information
Practice address
405 E NIFONG BLVD, COLUMBIA, MO 65201-3708
(573) 442-8595
(573) 442-8652
Mailing address
405 E NIFONG BLVD, COLUMBIA, MO 65201-3708
(573) 442-8595
(573) 442-8652
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2001025787
MO
Other
Enumeration date
02/23/2013
Last updated
02/23/2013
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