Doctor Name: | MARIA ANIQUE CUCCIO |
NPI Number: | 1699977611 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RDLD |
License Number: | 2003001976 |
Business Practice Address: | 232 S Woods Mill Rd Chesterfield, MO - 630173417 |
Business Phone Number: | 3142056466 |
Business Fax Number: | |
Mailing Address: | 736 Rose Haven Ct, BALLWIN |
State: | MO |
Postal Code: | 630214013 |
Phone Number: | 3142217307 |
Fax Number: | |
NPI Enumeration Date: | 06/01/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 2003001976 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | |
Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |