Individual
SUSAN ALDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD,CDE
Contact information
Practice address
5325 FARAON ST, SAINT JOSEPH, MO 64506-3488
(816) 271-6700
(816) 271-6701
Mailing address
5325 FARAON ST, SAINT JOSEPH, MO 64506-3488
(816) 271-6700
(816) 271-6701
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
2001003607
MO
133VN1006X
Metabolic Nutrition Registered Dietitian
Primary
2001003607
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1669761904
—
MO
Enumeration date
04/06/2011
Last updated
05/18/2016
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