Individual
SELENA D SAULSBERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 JEFFERSON BARRACKS DR, SAINT LOUIS, MO 63125-4181
(314) 652-4100
Mailing address
1614 N BERRY RD, SAINT LOUIS, MO 63119-1208
(314) 283-4315
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
—
—
133V00000X
Registered Dietitian
Primary
2021020771
MO
133V00000X
Registered Dietitian
—
—
Other
Enumeration date
05/12/2020
Last updated
06/13/2021
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