Individual
MRS. CAROLYN STORTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.L.D.
Contact information
Practice address
2840 ERB RD, SAINT LOUIS, MO 63129-4523
(314) 846-2898
Mailing address
2840 ERB RD, SAINT LOUIS, MO 63129-4523
(314) 846-2898
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2000172498
MO
Other
Enumeration date
01/24/2009
Last updated
01/24/2009
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