Individual
COLLEEN HAMILTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD LDN
Contact information
Practice address
1109 W SLEEPY HOLLOW CT, PEORIA, IL 61615-1101
(309) 303-8077
Mailing address
1109 W SLEEPY HOLLOW CT, PEORIA, IL 61615-1101
(309) 303-8077
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164005668
IL
Other
Enumeration date
04/09/2020
Last updated
04/09/2020
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