Whalio Doctors

NPI 1518191592

Grace Hill Neighborhood Health Center INC,

Organisation Nutritionist Saint Louis, MO

Practice location

Address
100 N Tucker Blvd, Saint Louis, MO 63101-1931
Phone
(314) 814-8556
Fax
(314) 814-8542
Mailing address
2220 Lemp Ave, Saint Louis, MO 63104-2700

Authorised official

Name
Tanya Ortiz
Title
License Dietitian
Phone
(314) 814-8556

Registered specialties

Nutritionist Primary
Dietary & Nutritional Service Providers Taxonomy 133N00000X Licence 2004008861 (MO)

Registry record

NPI
1518191592
Entity type
Organization
NPI issued
6 May 2009
Record last updated
6 May 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.