CRYSTAL MIDDLETON

SAINT LOUIS, MO
NPI1093450116
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: IL  164005204)
Enumeration Date2022-05-03
Last Update Date2024-04-22
Business Address
CRYSTAL MIDDLETON RD
1 JEFFERSON BARRACKS DR
SAINT LOUIS, MO 63125-4181
Phone number: 314-652-4100
Mailing Address
CRYSTAL MIDDLETON RD
1325 CENTERPOINT CIR APT 203
SHILOH, IL 62269-2170
Phone number: 618-201-1432