Individual
JEANNE THERESE LAIRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN LDN
Contact information
Practice address
100 FITNESS DR, BOURBONNAIS, IL 60914-9584
(815) 936-6515
(815) 936-6517
Mailing address
100 FITNESS DR, BOURBONNAIS, IL 60914-9584
(815) 936-6515
(815) 936-6517
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164.007610
IL
Other
Enumeration date
09/25/2020
Last updated
10/22/2020
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