Individual
ABIGAIL LOUISE NYANZI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
915 N GRAND BLVD, SAINT LOUIS, MO 63106-1621
(314) 652-4100
Mailing address
1060 GREEN MOUNTAIN CT APT E, FENTON, MO 63026-6414
(636) 222-7883
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2023036942
MO
Other
Enumeration date
11/09/2023
Last updated
11/13/2023
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