Individual
ANDREA KAY BRETTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RDN, LDN
Contact information
Practice address
501 LAKE LAND BLVD, MATTOON, IL 61938-5283
(217) 554-3000
Mailing address
501 LAKE LAND BLVD, MATTOON, IL 61938-5283
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164.006956
IL
Other
Enumeration date
03/15/2018
Last updated
03/17/2018
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