Individual
SARA INGERSOLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1100 N KENTUCKY AVE, WEST PLAINS, MO 65775-2029
(417) 256-9111
Mailing address
2604 BURKE AVE, WEST PLAINS, MO 65775-7552
(816) 294-4813
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2014038397
MO
Other
Enumeration date
11/21/2014
Last updated
11/21/2014
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