Individual
CORRIE DONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
621 S NEW BALLAS RD STE 437A, SAINT LOUIS, MO 63141-8259
(314) 251-6344
Mailing address
621 S NEW BALLAS RD STE 437A, SAINT LOUIS, MO 63141-8259
(314) 251-6344
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
2014031793
MO
363A00000X
Physician Assistant
Primary
2022032641
MO
Other
Enumeration date
07/15/2015
Last updated
02/21/2024
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