Individual
MATTIE KOVACS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, LD
Contact information
Practice address
4020 FRENCH OAK LN, SAINT CHARLES, MO 63304-1419
(618) 560-0670
Mailing address
4020 FRENCH OAK LN, SAINT CHARLES, MO 63304-1419
(618) 560-0670
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
164.008235
IL
133V00000X
Registered Dietitian
Primary
2020041121
MO
133V00000X
Registered Dietitian
DT88277
TX
Other
Enumeration date
01/10/2023
Last updated
01/10/2023
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