Individual
ASHLEY PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
404 N KEENE ST, COLUMBIA, MO 65201-6626
(573) 771-9892
Mailing address
404 N KEENE ST, COLUMBIA, MO 65201-6626
(573) 771-9892
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2013005204
MO
Other
Enumeration date
05/03/2021
Last updated
05/03/2021
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