Individual
SARA CUNNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, CDE
Contact information
Practice address
851 E 5TH ST, WASHINGTON, MO 63090-3135
(636) 239-8000
Mailing address
851 E 5TH ST, WASHINGTON, MO 63090-3135
(636) 239-8000
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2001012329
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
355270604
—
MO
Enumeration date
06/19/2008
Last updated
12/15/2016
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