Individual
DUSTIN P SOLOMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS RD LDN
Contact information
Practice address
915 N GRAND BLVD, SAINT LOUIS, MO 63106-1621
(314) 651-4100
Mailing address
307 FRONT ST, ENERGY, IL 62933-5032
(618) 364-5672
Taxonomy
Speciality
Code
Description
License number
State
133VN1005X
Renal Nutrition Registered Dietitian
Primary
164006736
IL
Other
Enumeration date
04/01/2019
Last updated
04/01/2019
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