Organization
PEDIATRIC EDUCATION DIETITIAN SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA K LINNEMAN MS, RD, LD (OWNER)
(636) 227-7337
Entity
Organization
Contact information
Practice address
254 CLARKSON RD, ELLISVILLE, MO 63011-2245
(636) 227-7337
Mailing address
254 CLARKSON RD, ELLISVILLE, MO 63011-2245
(636) 227-7337
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
2001004908
MO
Other
Enumeration date
09/20/2006
Last updated
08/22/2020
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