Individual
MELISSA CLAIRE GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
1465 S GRAND BLVD, SAINT LOUIS, MO 63104-1003
(314) 268-2700
Mailing address
62 STONEBROOKE, TROY, IL 62294-2468
(618) 334-6235
Taxonomy
Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
2021001439
MO
Other
Enumeration date
01/19/2021
Last updated
01/19/2021
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