Individual
ALISSA WOODEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
901 E 5TH ST, WASHINGTON, MO 63090-3127
(636) 239-8744
Mailing address
6555 PERNOD AVE, SAINT LOUIS, MO 63139-2146
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
164007753
IL
133V00000X
Registered Dietitian
Primary
2018034593
MO
Other
Enumeration date
11/12/2019
Last updated
11/12/2019
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