SearchMissouri133V00000X

Irene Wan, RD, LD

NPI 1477828234 · on the registry since 2012

Practice

Address
1416 N Berry Rd
Saint Louis, MO 63119
Phone
(314) 368-9108

Registry record

Primary taxonomy
133V00000X
133V00000X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2012-03-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri