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Individual

MRS. AMANDA CAROLE BRATTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RD, LD

Contact information

Practice address
100 MEDICAL PLZ, SUITE 1203, LAKE ST LOUIS, MO 63367-1366
(636) 625-7733
Mailing address
3165 MOSS POINTE DR, SAINT CHARLES, MO 63303-6551
(314) 952-5190

Taxonomy

Speciality
Code
Description
License number
State
133VN1006X
Metabolic Nutrition Registered Dietitian
Primary
2009022863
MO

Other

Enumeration date
03/13/2012
Last updated
03/13/2012
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