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VERONICA FISCHER MCDONNELL RD LD

Dietary & Nutritional Service Providers Dietitian, Registered

Provider NPI: 1154564755

Provider Information:
 VERONICA FISCHER MCDONNELL RD LD
Gender: F
Sole Proprietor

Practice Location:
12855 N 40 DR SUITE 205 SAINT LOUIS, MO 63141-8657 US
Tel: 314-720-0900  Fax: --

Business Mailing Address:
12855 N 40 DR  SAINT LOUIS, MO 63141-8657 US
Tel: 314-720-0900  Fax: --

NPI Information:
NPI: 1154564755
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N133V00000XDietary & Nutritional Service Providers
Dietitian, Registered
MO2000170598
Y133VN1005XDietary & Nutritional Service Providers
Dietitian, Registered
MO2000170598

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 133VN1005X

Type:

Classification:



Definition:



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