Individual
MRS. CLAUDIA E HUMPHREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D., L.D., C.D.E.
Contact information
Practice address
3009 N BALLAS RD STE 216B, SAINT LOUIS, MO 63131-2308
(314) 996-4352
(314) 996-4591
Mailing address
15454 LONG CASTLE FOREST CT, CHESTERFIELD, MO 63017-7447
(636) 532-2953
(636) 532-2953
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2001023549
MO
Other
Enumeration date
06/28/2007
Last updated
07/08/2007
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