Individual
CARRIE WEATHERHOLT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D., L.D.
Contact information
Practice address
1 JEFFERSON BARRACKS RD, SAINT LOUIS, MO 63125-4181
(314) 894-6629
Mailing address
1 JEFFERSON BARRACKS RD, SAINT LOUIS, MO 63125-4181
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2003002946
MO
Other
Enumeration date
04/04/2011
Last updated
04/04/2011
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