Individual
SHELLY PALMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RDN, LDN
Contact information
Practice address
905 S GOODWIN AVE OFC 567, URBANA, IL 61801-3816
(217) 300-2216
Mailing address
905 S GOODWIN AVE OFC 567, URBANA, IL 61801-3816
(217) 300-2216
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164007805
IL
Other
Enumeration date
08/29/2019
Last updated
08/05/2020
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