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Organization

SARAH POLK NUTRITION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SARAH ELISE POLK RD, LD, CSOWM (REGISTERED DIETITIAN)
(314) 246-9072
Entity
Organization

Contact information

Practice address
10004 KENNERLY RD STE 370A, SAINT LOUIS, MO 63128-5118
(314) 246-9072
(314) 627-7007
Mailing address
4134 QUINCY ST, SAINT LOUIS, MO 63116-2705
(636) 577-1686

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary

Other

Enumeration date
02/18/2025
Last updated
09/02/2025
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