JERRY RAY MOODY

SAINT LOUIS, MO
NPI1902033087
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: ID  D-593)
Enumeration Date2009-06-16
Last Update Date2009-06-16
Business Address
Mr. JERRY RAY MOODY MS, RD, CNSD
12647 OLIVE BLVD STE 600
SAINT LOUIS, MO 63141-6346
Phone number: 800-325-3982
Mailing Address
Mr. JERRY RAY MOODY MS, RD, CNSD
4008 NORDLAND TRL
CASTLE ROCK, CO 80109-7937
Phone number: 303-814-1511
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