Individual
MRS. JESSICA LEIGH STAFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
3412 DAYBREAK LN, SAINT CHARLES, MO 63303-1942
(314) 591-7137
Mailing address
3412 DAYBREAK LN, SAINT CHARLES, MO 63303-1942
(314) 591-7137
Taxonomy
Speciality
Code
Description
License number
State
133VN1006X
Metabolic Nutrition Registered Dietitian
Primary
934060
MO
Other
Enumeration date
03/22/2012
Last updated
02/24/2022
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