IndividualActive
Juvaila Pavlicek
NPI 1528489283 · Registered Dietitian · Berkeley, MO
Provider details
- NPI number
- 1528489283
- Entity type
- Individual
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 2013020789 (MO)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Practice location
6121 N Hanley Rd
Berkeley, MO 63134-2003
Phone: (314) 615-0500
Fax: (314) 615-8303
Approximate (ZIP-level) locationGet directions
Mailing address
6121 N Hanley Rd
Berkeley, MO 63134-2003
Registry dates
- Enumerated
- 2013-12-26
- Last updated
- 2013-12-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.