Individual
AMY CALLICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
401 HOLLY HILLS AVE, SAINT LOUIS, MO 63111-2410
(314) 353-5190
Mailing address
401 HOLLY HILLS AVE, SAINT LOUIS, MO 63111-2410
(314) 353-5190
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2001019326
MO
Other
Enumeration date
09/03/2025
Last updated
09/03/2025
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