Individual
MS. DESIRAY JOYCE YEAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LDN
Contact information
Practice address
1800 E LAKE SHORE DR, DECATUR, IL 62521-3810
(217) 464-2966
Mailing address
3114 RUDDER LN APT 103, BLOOMINGTON, IL 61704-4709
(661) 802-8534
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164006917
IL
Other
Enumeration date
11/09/2016
Last updated
11/09/2016
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