Individual
AUDREY FAY WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
440 E TAMPA ST, SPRINGFIELD, MO 65806-1131
(417) 831-0150
Mailing address
1120 E SCOTT ST, SPRINGFIELD, MO 65802-3622
(314) 599-3579
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2022037881
MO
Other
Enumeration date
09/27/2022
Last updated
09/27/2022
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