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Individual

JANICE WOODSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3009 N BALLAS RD, SUITE 100B, SAINT LOUIS, MO 63131-2322
(314) 432-1111
(314) 432-6308
Mailing address
1566 ROSEWOOD TERRACE DR, MANCHESTER, MO 63021-8464

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2001010072
MO

Other

Enumeration date
01/02/2008
Last updated
01/02/2008
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