Individual
SOFIA MITJANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12303 DE PAUL DR, BRIDGETON, MO 63044-2512
(314) 344-6373
Mailing address
9809 VERA CRUZ DR, SAINT LOUIS, MO 63126-3222
(312) 918-2552
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2020042157
MO
Other
Enumeration date
05/20/2021
Last updated
05/20/2021
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