NPI 1356872485

Glenda Boersig

Practitioner Nutritionist Saint Louis, MO

Practice location

Address: 11016 Baywood Ter, Saint Louis, MO 63126-3406
Phone: (314) 803-0611
Fax: (636) 628-2471

Registered specialties

Nutritionist Primary

Dietary & Nutritional Service Providers Taxonomy 133N00000X

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Registry record

NPI: 1356872485
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 Mar 2017
Record last updated: 21 Mar 2017

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.