Individual
MRS. SANDRA LYNN DREYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
600 E 5TH ST, FULTON, MO 65251-1793
(572) 592-4100
Mailing address
707 JEFFERSON STREET, FULTON, MO 65251
(660) 216-7247
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2001007916
MO
Other
Enumeration date
09/22/2022
Last updated
09/22/2022
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