OLIVIA ROSE MIDDENDORF

SAINT LOUIS, MO
NPI1518658533
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: IL  164.008985)
Additional Taxonomies133V00000X Dietitian, Registered
(Licence: IA  116501)
133V00000X Dietitian, Registered
(Licence: MO  2022045025)
Enumeration Date2023-05-19
Last Update Date2023-05-19
Business Address
OLIVIA ROSE MIDDENDORF RD, LD
1 CARDINAL WAY APT 1213
SAINT LOUIS, MO 63102-2810
Phone number: 563-690-8197
Mailing Address
OLIVIA ROSE MIDDENDORF RD, LD
8520 N HIGH RIDGE RD
EAST DUBUQUE, IL 61025-9718
Phone number: 563-690-8197