Individual
JOSEPHINE BUCKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
320 GRAVOIS RD # 210-230, FENTON, MO 63026-4122
(636) 600-0446
Mailing address
8808 SHERYL ANN DR, SAINT LOUIS, MO 63126-2132
(314) 580-6036
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2021035601
MO
Other
Enumeration date
01/08/2024
Last updated
01/08/2024
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