Individual
ADAM MICHAEL HARNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NDTR
Contact information
Practice address
11365 DORSETT RD, MARYLAND HEIGHTS, MO 63043-3411
(314) 872-6426
Mailing address
2642 SHENANDOAH AVE, SAINT LOUIS, MO 63104-2340
(217) 899-2716
Taxonomy
Speciality
Code
Description
License number
State
136A00000X
Registered Dietetic Technician
Primary
—
—
Other
Enumeration date
04/14/2021
Last updated
04/14/2021
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