Individual
MRS. JENNIFER LOUISE MCDANIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RDN, CSSD
Contact information
Practice address
230 S BEMISTON AVE STE 430, SAINT LOUIS, MO 63105-1907
(314) 413-1996
Mailing address
7408 SOMERSET AVE, SAINT LOUIS, MO 63105-2924
(314) 413-1996
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2003000969
MO
133V00000X
Registered Dietitian
896355
MO
Other
Enumeration date
01/05/2020
Last updated
01/05/2020
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