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Individual

MRS. DIANE MARIE BALDETTI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
L.D, R.D

Contact information

Practice address
915 N GRAND BLVD, SAINT LOUIS, MO 63106-1621
(314) 652-4100
Mailing address
915 N GRAND BLVD, SAINT LOUIS, MO 63106-1621

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2001026061
MO

Other

Enumeration date
07/31/2006
Last updated
07/08/2007
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