Individual
MRS. CORISSA DAWN ZUMWALT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M,S, R.D, L.D
Contact information
Practice address
4000 JENNINGS STATION RD, SAINT LOUIS, MO 63121-3323
(314) 679-7835
Mailing address
4000 JENNINGS STATION RD, SAINT LOUIS, MO 63121-3323
(314) 679-7835
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2009021559
MO
Other
Enumeration date
04/06/2010
Last updated
04/06/2010
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