Individual
MARJORIE D MAXWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
1027 BELLEVUE AVE, SUITE 107, SAINT LOUIS, MO 63117-1851
(314) 851-3307
(314) 647-7967
Mailing address
PO BOX 23340, SAINT LOUIS, MO 63156-3340
(314) 851-3307
(314) 647-7967
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2001025981
MO
Other
Enumeration date
10/20/2011
Last updated
10/20/2011
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