Individual
STACY RUTER COVEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D., L.D.
Contact information
Practice address
915 NORTH GRAND, SAINT LOUIS, MO 63106-1621
(314) 652-4100
Mailing address
6454 CHRISTY DRIVE, SAINT LOUIS, MO 63116
(314) 752-7787
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2004024556
MO
Other
Enumeration date
08/16/2006
Last updated
07/08/2007
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