Individual
MIRISSA RAY WEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
1465 S GRAND BLVD, SAINT LOUIS, MO 63104-1003
(314) 577-5387
Mailing address
1465 S GRAND BLVD, SAINT LOUIS, MO 63104-1003
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
11/15/2022
Last updated
09/26/2025
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