Individual
JEAN C LAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
2300 N VERMILION ST, DANVILLE, IL 61832-1735
(217) 431-7830
(217) 431-7756
Mailing address
611 W PARK ST, BWPC, URBANA, IL 61801-2529
(217) 383-6941
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164001241
IL
Other
Enumeration date
07/14/2006
Last updated
03/23/2017
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