Individual
ROBERTO CARLOS CORREA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RD
Contact information
Practice address
1271 MOUNTAIN RIDGE RD, NOEL, MO 64854-7381
(479) 381-5582
Mailing address
1271 MOUNTAIN RIDGE RD, NOEL, MO 64854-7381
(479) 381-5582
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2021000605
MO
Other
Enumeration date
10/14/2024
Last updated
10/14/2024
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