Individual
JACLYN LEKAY NIX ALVAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2941 CHAMPIONSHIP BLVD, SAINT LOUIS, MO 63129-5274
(918) 282-6313
Mailing address
2941 CHAMPIONSHIP BLVD, SAINT LOUIS, MO 63129-5274
(918) 282-6313
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2017030931
MO
Other
Enumeration date
01/27/2025
Last updated
01/27/2025
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