Individual
REBECCA DIRKES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
635 NORRIS DR, JEFFERSON CITY, MO 65109-0735
(406) 599-6871
Mailing address
635 NORRIS DR, JEFFERSON CITY, MO 65109-0735
(406) 599-6871
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2022017614
MO
Other
Enumeration date
08/19/2022
Last updated
08/19/2022
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