Individual
LAURA M CUSUMANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
32 OAK PARK DR, SAINT LOUIS, MO 63141-8428
(314) 304-2352
Mailing address
32 OAK PARK DR, SAINT LOUIS, MO 63141-8428
(314) 304-2352
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
626978
MO
Other
Enumeration date
01/24/2020
Last updated
01/24/2020
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