Organization
BAREFOOT NURSE NUTRITIONIST, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIKA DYCUS LDN (OWNER)
(815) 451-9367
Entity
Organization
Contact information
Practice address
4119 DEAN ST, WOODSTOCK, IL 60098-7501
(815) 451-9367
Mailing address
4119 DEAN ST, WOODSTOCK, IL 60098-7501
(815) 451-9367
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
Other
Enumeration date
02/02/2024
Last updated
02/02/2024
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