Individual
ANGELA TODD
Active
Sole proprietor
Provider details
NPI number
Gender
F
Contact information
Practice address
PROVENA COVENANT MEDICAL CENTER, 1400 WEST PARK STREET, URBANA, IL 61801
(217) 337-4520
Mailing address
2405 HEATHROW DR, #13, CHAMPAIGN, IL 61820-2387
(920) 229-2967
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
06/14/2006
Last updated
07/08/2007
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