Individual
ABIGAIL STANLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
6185 JEFFERSON AVENUE, PARKVILLE, MO 64152
(816) 569-1480
Mailing address
6185 JEFFERSON AVENUE, PARKVILLE, MO 64152
(816) 569-1480
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2016019294
MO
Other
Enumeration date
08/30/2016
Last updated
08/30/2016
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