Individual
VICTORIA CHOUKLINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN, LDN
Contact information
Practice address
405 E NIFONG BLVD, COLUMBIA, MO 65201-3708
(573) 442-8595
Mailing address
1208 GRACE LN, BOONVILLE, MO 65233-2143
(314) 971-1090
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1042045
MO
Other
Enumeration date
06/18/2024
Last updated
06/18/2024
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