Individual
AMANDA NEAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
849 STANFORD DR, SIKESTON, MO 63801-5717
(573) 559-5535
Mailing address
849 STANFORD DR, SIKESTON, MO 63801-5717
(573) 559-5535
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2021037740
MO
Other
Enumeration date
06/26/2024
Last updated
06/26/2024
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