| Divine Nutrition Service | |
|
2080 Cordoba Dr, Florissant, MO 63033-2807 | |
| (314) 732-2302 | |
| Not Available |
| Full Name | Divine Nutrition Service |
|---|---|
| Type | Facility |
| Speciality | Dietitian, Registered |
| Location | 2080 Cordoba Dr, Florissant, Missouri |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134657208 | NPI | - | NPPES |
| 1134657208 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Divine Nutrition Service 2080 Cordoba Dr, Florissant, MO 63033-2807 Ph: (314) 732-2302 | Divine Nutrition Service 2080 Cordoba Dr, Florissant, MO 63033-2807 Ph: (314) 732-2302 |
Mrs. Jennifer Jane Moffett, R.D., L.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1380 Bluefield Dr, Florissant, MO 63033 Phone: 314-344-6000 Fax: 314-344-6936 | |
Mrs. Dorian Doss, MS, RDN, LD, CPT Dietitian Medicare: Not Enrolled in Medicare Practice Location: 30 Jost Villa Dr, Florissant, MO 63034 Phone: 314-452-3273 | |
Anna M Yates, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1688 Celerity Dr, Florissant, MO 63031 Phone: 314-972-7817 | |
Jamie L Piper, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1224 Graham Rd, Suite C-1330, Florissant, MO 63031 Phone: 314-839-4554 Fax: 314-837-0047 | |
Lindsay Cohen, RD, LD Dietitian Medicare: Medicare Enrolled Practice Location: 1225 Graham Rd Bldg C, Ste 1330, Florissant, MO 63031 Phone: 314-838-5702 Fax: 314-839-5596 |