IRENE WAN

SAINT LOUIS, MO
NPI1477828234
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: MO  2010030876)
Enumeration Date2012-03-13
Last Update Date2012-03-13
Business Address
-- IRENE WAN RD, LD
1416 N BERRY RD
SAINT LOUIS, MO 63119-1204
Phone number: 314-368-9108
Mailing Address
-- IRENE WAN RD, LD
1416 N BERRY RD
SAINT LOUIS, MO 63119-1204
Phone number: 314-368-9108
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