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Organization
TINY TOTS NUTRITION THERAPY LLC
Active
Organization
TINY TOTS NUTRITION THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CYNTHIA D. KEDZIERSKI RD, LDN (REGISTERED DIETITIAN)
(815) 919-0312
Entity
Organization
Contact information
Practice address
16406 S WESTWOOD DR, LOCKPORT, IL 60441-7666
(815) 919-0312
(815) 305-7403
Mailing address
16406 S WESTWOOD DR, LOCKPORT, IL 60441-7666
(815) 919-0312
(815) 305-7403
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164003138
IL
Other
Enumeration date
02/04/2009
Last updated
03/02/2009
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