Organization
GRACE HILL NEIGHBORHOOD HEALTH CENTER INC,
Active
Organization
GRACE HILL NEIGHBORHOOD HEALTH CENTER INC,
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TANYA ORTIZ (LICENSE DIETITIAN)
(314) 814-8556
Entity
Organization
Contact information
Practice address
100 N TUCKER BLVD, SAINT LOUIS, MO 63101-1931
(314) 814-8556
(314) 814-8542
Mailing address
2220 LEMP AVE, SAINT LOUIS, MO 63104-2700
(314) 814-8556
(314) 814-8542
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
2004008861
MO
Other
Enumeration date
05/06/2009
Last updated
05/06/2009
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