Individual
MRS. REBECCA LEE MCCONVILLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS RD CSSD LD
Contact information
Practice address
319 OLIVE ST, PLEASANT HILL, MO 64080-1240
(816) 804-6599
Mailing address
319 OLIVE ST, PLEASANT HILL, MO 64080-1240
(816) 804-6599
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2007028944
MO
Other
Enumeration date
09/30/2013
Last updated
09/30/2013
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