Individual
DIANA CANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD MPH
Contact information
Practice address
218 CIDER ST, BOLINGBROOK, IL 60490-6558
(484) 459-1481
Mailing address
218 CIDER ST, BOLINGBROOK, IL 60490-6558
(484) 459-1481
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
914172
PA
Other
Enumeration date
03/26/2014
Last updated
03/26/2014
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