NPI 1699585505 · live from the CMS NPI Registry
Gwendoline Balto, RD
Dietitian, Registered in Saint Louis, MO. National Provider Identifier 1699585505, active.
NPI record
| NPI | 1699585505 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 10525 Big Bend Rd, Saint Louis, MO 63122 |
| Practice phone | 314-804-1848 |
| Enumerated | January 13, 2025 |
| Last updated | January 13, 2025 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 2024046426 (MO) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.