Individual
HOLLY BRUEMMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
1125 MADISON ST, JEFFERSON CITY, MO 65101-5227
(573) 632-5000
(573) 632-5879
Mailing address
2504 WALTHER AVE, JEFFERSON CITY, MO 65109-9196
(573) 690-8891
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2019028910
MO
Other
Enumeration date
05/19/2021
Last updated
05/19/2021
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