Individual
JUSTA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
3015 NORTH BALLAS, SAINT LOUIS, MO 63131
(314) 996-5566
Mailing address
1319 FLINTSHIRE LANE, LAKE SAINT LOUIS, MO 63367
(573) 291-1270
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
08/27/2019
Last updated
08/27/2019
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