Individual
JENNIFER R MANIACI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
231 W LOCKWOOD AVE, SUITE 201, SAINT LOUIS, MO 63119-2327
(314) 968-1900
(314) 968-1901
Mailing address
231 W LOCKWOOD AVE, SUITE 201, SAINT LOUIS, MO 63119-2327
(314) 968-1900
(314) 968-1901
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2007027919
MO
Other
Enumeration date
02/02/2010
Last updated
02/05/2010
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