Individual
MRS. MARYSE BEAUDOUIN DEROSENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS MHA LDN
Contact information
Practice address
2405 ESSINGTON RD, SUITE # 80, JOLIET, IL 60435-1200
(815) 236-6441
(630) 293-2937
Mailing address
2405 ESSINGTON RD, SUITE # 80, JOLIET, IL 60435-1200
(815) 236-6441
(630) 293-2937
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
IL
Other
Enumeration date
08/22/2006
Last updated
07/08/2007
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