Individual
MRS. DEBORAH A MONJE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
12303 DEPAUL DR, BRIDGETON, MO 63044-2588
(314) 344-6000
Mailing address
6462 MILL VIEW DR, BYRNES MILL, MO 63051-1295
(636) 533-4035
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2001021460
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2001021460
LICENSURE
MO
Enumeration date
03/28/2012
Last updated
03/28/2012
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