| NPI | 1639342710 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMBER J WAMHOFF Owner 314-583-4525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MO 2001025921) |
| Enumeration Date | 2008-04-09 |
| Last Update Date | 2015-11-18 |