Individual
JENELLE MIKULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 BARNES JEW HOSP PLZ, MAILSTOP 90-17-334, SAINT LOUIS, MO 63110-1003
(314) 362-9630
Mailing address
1 BARNES JEW HOSP PLZ, MAILSTOP 90-17-334, SAINT LOUIS, MO 63110-1003
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2012031105
MO
Other
Enumeration date
02/18/2016
Last updated
02/18/2016
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