Organization
GILLIGAN NUTRITION COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES GILLIGAN JR. RDN (DIETITIAN)
(314) 537-0932
Entity
Organization
Contact information
Practice address
10104 CONWAY RD, SAINT LOUIS, MO 63124-1240
(314) 537-0932
Mailing address
10104 CONWAY RD, SAINT LOUIS, MO 63124-1240
(314) 537-0932
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
12/08/2019
Last updated
12/08/2019
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