Individual
TERESA KATHERINE MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
4931 WALSH ST, SAINT LOUIS, MO 63109-3216
(563) 508-2825
Mailing address
4931 WALSH ST, SAINT LOUIS, MO 63109-3216
(563) 508-2825
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2014023552
MO
Other
Enumeration date
02/09/2018
Last updated
02/09/2018
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