Individual
DEANNA H. THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
120 W 16TH ST, MOUNTAIN GROVE, MO 65711-1039
(417) 926-6111
(417) 926-6115
Mailing address
PO BOX 2580, SPRINGFIELD, MO 65801-2580
(417) 829-4620
(417) 829-4316
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2001004241
MO
Other
Enumeration date
03/26/2008
Last updated
03/26/2008
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