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Individual

IAN WASHINGTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RD/RDN

Contact information

Practice address
1465 S GRAND BLVD, SAINT LOUIS, MO 63104-1003
(314) 577-5600
Mailing address
3802 MCREE AVE APT 2E, SAINT LOUIS, MO 63110-2659
(417) 372-7151

Taxonomy

Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
2022030219
MO

Other

Enumeration date
09/27/2022
Last updated
09/27/2022
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