Individual
GOLDIE BARNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
29286 STATE HIGHWAY EE, FAIRFAX, MO 64446-8132
(660) 253-0692
Mailing address
918 W 3RD ST, MARYVILLE, MO 64468-2028
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2022020584
MO
202C00000X
Independent Medical Examiner Physician
2022020584
MO
Other
Enumeration date
07/29/2024
Last updated
11/11/2024
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