Individual
JENNIFER CUDDEBACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
6420 CLAYTON RD, RICHMOND HEIGHTS, MO 63117-1811
(314) 768-8833
Mailing address
6420 CLAYTON RD, RICHMOND HEIGHTS, MO 63117-1811
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2019006035
MO
Other
Enumeration date
03/11/2019
Last updated
03/11/2019
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