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Individual

ELISABETH GLASS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, RDN, LD

Contact information

Practice address
5105 BLUE SPRUCE CT, COLUMBIA, MO 65203-9189
(573) 814-9841
Mailing address
5105 BLUE SPRUCE CT, COLUMBIA, MO 65203-9189
(573) 814-9841

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
2023037484
MO
133V00000X
Registered Dietitian
Primary
86292633
MO

Other

Enumeration date
02/03/2025
Last updated
02/03/2025
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