Individual
MADDILYN UNDERWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD/LD
Contact information
Practice address
12873 STATE ROUTE 21, DE SOTO, MO 63020-4743
(636) 359-6019
Mailing address
12873 STATE ROUTE 21, DE SOTO, MO 63020-4743
(636) 359-6019
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2019026018
MO
Other
Enumeration date
01/22/2026
Last updated
01/22/2026
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