Individual
AMY SAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
11135 DUNN RD STE G-187, SAINT LOUIS, MO 63136-6119
(314) 412-0485
Mailing address
11135 DUNN RD STE G-187, SAINT LOUIS, MO 63136-6119
(314) 412-0485
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2022031990
MO
Other
Enumeration date
02/01/2024
Last updated
04/15/2025
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