Individual
MRS. CAROL MARIE WALSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD.LD
Contact information
Practice address
4887 SOUTHIDGE PARK DRIVE, ST LOUIS, MO 63129-1773
(314) 487-8413
Mailing address
4887 SOUTHIDGE PARK DRIVE, ST LOUIS, MO 63129-1773
(314) 487-8413
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
690853
MO
Other
Enumeration date
10/10/2007
Last updated
10/10/2007
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