Organization
NUTRITION EXCHANGE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AMBER J WAMHOFF RD,LD,CDE (OWNER)
(314) 583-4525
Entity
Organization
Contact information
Practice address
1602 S BIG BEND BLVD, SAINT LOUIS, MO 63117-2208
(314) 583-4525
(314) 583-4525
Mailing address
470 LAKE AVE, UNIT 1 SOUTH, SAINT LOUIS, MO 63108-1100
(314) 583-4525
(855) 568-0468
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2001025921
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1134315179
NPI, INDIVIDUAL
MO
Enumeration date
04/09/2008
Last updated
11/18/2015
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