Individual
MRS. CRYSTAL ANN CASPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
7610 N ORANGE PRARIE ROAD, PEORIA, IL 61615
(309) 589-1001
Mailing address
101 KAREN DRIVE, EAST PEORIA, IL 61611
(309) 712-4962
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164.005880
IL
Other
Enumeration date
07/31/2015
Last updated
07/31/2015
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