Individual
MEGAN RAE WAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
2551 NORTERRE CIR, LIBERTY, MO 64068-3412
(816) 463-8930
Mailing address
2551 NORTERRE CIR, LIBERTY, MO 64068-3412
(816) 463-8930
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
MO
Other
Enumeration date
05/23/2023
Last updated
05/23/2023
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