Individual
CHRISTINE LOUISE ST. OURS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RN, LDN, CNS
Contact information
Practice address
DUNDALK PEDIATRIC ASSOCIATES, 1792 MERRITT BLVD., DUNDALK, MD 21222-2122
(410) 284-1133
Mailing address
DUNDALK PEDIATRIC ASSOCIATES, 1792 MERRITT BLVD., DUNDALK, MD 21222
(410) 284-1133
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
DX4486
MD
Other
Enumeration date
09/06/2018
Last updated
09/06/2018
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