Individual
MS. SONYA MARIE PHARES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
12647 OLIVE BLVD, SAINT LOUIS, MO 63141-6345
(713) 705-5287
Mailing address
1029 HUNTERS TRCE, MT PLEASANT, SC 29464-3619
(713) 705-5287
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT80178
TX
Other
Enumeration date
09/26/2007
Last updated
09/26/2007
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