Individual
SARA WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
2305 SOUTH 65 HIGHWAY, MARSHALL, MO 65340-3702
(660) 831-3265
Mailing address
2305 SOUTH 65 HIGHWAY, MARSHALL, MO 65340-3702
(660) 831-3265
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2001014418
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2001014418
REGISTERED DIETITIAN NUTRITIONIST
MO
Enumeration date
09/07/2016
Last updated
09/07/2016
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