Individual
SHANNON C BRUEGGEMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RDN, LDN
Contact information
Practice address
3660 VISTA AVE, SECOND FLOOR, SAINT LOUIS, MO 63110-2540
(314) 977-6142
Mailing address
3660 VISTA AVE, SECOND FLOOR, SAINT LOUIS, MO 63110-2540
(314) 977-6142
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
164.003871
IL
133V00000X
Registered Dietitian
Primary
2004020871
MO
Other
Enumeration date
06/26/2014
Last updated
06/26/2014
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