Individual
TAYLOR LARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, CSSD, LD
Contact information
Practice address
4200 ARSENAL ST, SAINT LOUIS, MO 63116-1902
(314) 620-9284
Mailing address
4200 ARSENAL ST, SAINT LOUIS, MO 63116-1902
(314) 620-9284
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2014000500
MO
Other
Enumeration date
11/11/2015
Last updated
11/11/2015
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