Individual
MRS. JENNIFER JANE MOFFETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D., L.D.
Contact information
Practice address
1380 BLUEFIELD DR, FLORISSANT, MO 63033-2102
(314) 344-6000
(314) 344-6936
Mailing address
12303 DEPAUL DR., BRIDGETON, MO 63044-2588
(314) 344-6000
(314) 344-6936
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2001007655
MO
Other
Enumeration date
03/28/2012
Last updated
03/28/2012
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