Individual
MRS. EMMY M THIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS, RD, LDN
Contact information
Practice address
600 S 13TH ST, PEKIN, IL 61554-4936
(309) 353-0508
(309) 353-0710
Mailing address
2421 WILLOW ST, PEKIN, IL 61554-3034
(309) 267-0595
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
IL
Other
Enumeration date
03/29/2007
Last updated
10/02/2007
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