Individual
MRS. REBECCA ANNE WALLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
450 W HIGHWAY 22, FOOD AND NUTRITION, BARRINGTON, IL 60010-1919
(847) 381-9600
Mailing address
450 W HIGHWAY 22, FOOD AND NUTRITION, BARRINGTON, IL 60010-1919
(847) 381-9600
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
923591
IL
Other
Enumeration date
07/30/2008
Last updated
07/30/2008
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