Individual
MRS. SUZANNE DENISE MCCOMB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
6065 HELEN AVE, BERKELEY, MO 63134-2013
(314) 522-6410
Mailing address
1379 SCHOAL CREEK DR, SAINT PETERS, MO 63366-3605
(636) 541-2686
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2008031157
MO
Other
Enumeration date
10/13/2009
Last updated
10/13/2009
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