Individual
BRITTNEY L MOUTRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD LDN CDE
Contact information
Practice address
241 W WEAVER RD, SUITE 210, FORSYTH, IL 62535
(217) 876-5370
(217) 876-5375
Mailing address
925 WEST ST, PERU, IL 61354-2757
(815) 780-3560
(815) 780-4679
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164005188
IL
Other
Enumeration date
09/13/2010
Last updated
06/11/2018
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