Individual
GLENDA BOERSIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11016 BAYWOOD TER, SAINT LOUIS, MO 63126-3406
(314) 803-0611
(636) 628-2471
Mailing address
11016 BAYWOOD TER, SAINT LOUIS, MO 63126-3406
(314) 803-0611
(636) 628-2471
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
Other
Enumeration date
03/21/2017
Last updated
03/21/2017
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