Individual
MRS. AMANDA MARIE REILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
6800 STATE ROUTE 162, MARYVILLE, IL 62062-8500
(618) 391-5528
(618) 288-3638
Mailing address
1813 MARINE RD, SAINT JACOB, IL 62281-1243
(618) 644-3129
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164004969
IL
Other
Enumeration date
10/03/2008
Last updated
10/14/2009
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