Individual
MISS JULIE ANNE FEHRENBACHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, LDN
Contact information
Practice address
221 NE GLEN OAK AVE, PEORIA, IL 61636-0001
(309) 672-4954
Mailing address
205 N. CHURCH ST., CARLOCK, IL 61725
(217) 412-0485
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164.004775
IL
Other
Enumeration date
05/21/2008
Last updated
01/22/2009
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