Individual
REBECCA DIANE LEVINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2101 MAPLE GLEN CT, SAINT PETERS, MO 63376-7806
(314) 606-4034
Mailing address
2101 MAPLE GLEN CT, SAINT PETERS, MO 63376-7806
(314) 606-4034
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
723071
VA
Other
Enumeration date
02/26/2024
Last updated
02/26/2024
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