Individual
MANICIA DOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3301 COMMONWEALTH AVE, SAINT LOUIS, MO 63143-3505
(503) 380-0906
Mailing address
3301 COMMONWEALTH AVE, SAINT LOUIS, MO 63143-3505
(503) 380-0906
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2023049173
MO
Other
Enumeration date
06/23/2020
Last updated
01/31/2025
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