Individual
HEATHER KAY YACKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. R.D. L.D.N
Contact information
Practice address
2300 N EDWARD ST, DECATUR, IL 62526-4163
(217) 876-5304
Mailing address
2300 N EDWARD ST, DECATUR, IL 62526-4163
(217) 876-5304
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164.005030
IL
Other
Enumeration date
02/18/2009
Last updated
11/10/2010
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