Individual
ANNIE MARIE NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1610 SOUTHRIDGE DR, JEFFERSON CITY, MO 65102-9743
(573) 751-6303
Mailing address
10604 WALROND AVE, PO BOX 46213, KANSAS CITY, MO 64137-1755
(816) 966-0924
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2001025280
MO
Other
Enumeration date
12/10/2007
Last updated
12/10/2007
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