Individual
DEIDRE THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LD, CSR
Contact information
Practice address
11366 FLOWERS DR, DEXTER, MO 63841-9135
(573) 624-0995
Mailing address
11366 FLOWERS DR, DEXTER, MO 63841-9135
Taxonomy
Speciality
Code
Description
License number
State
133VN1005X
Renal Nutrition Registered Dietitian
Primary
2003005685
MO
Other
Enumeration date
02/05/2025
Last updated
02/05/2025
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