Individual
ASHLEY ROSE PREVALLET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1465 S GRAND BLVD, SAINT LOUIS, MO 63104-1003
(314) 577-5600
Mailing address
1465 S GRAND BLVD, SAINT LOUIS, MO 63104-1003
(636) 296-0662
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2024015099
MO
133V00000X
Registered Dietitian
2932
KS
Other
Enumeration date
08/12/2024
Last updated
08/12/2024
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