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Organization

QUALITY NUTRITION INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LISA RAE HASELHORST R.D., L.D.N. (PRESIDENT)
(618) 401-7675
Entity
Organization

Contact information

Practice address
620 N HARRISON ST, TRENTON, IL 62293-1071
(618) 401-7675
(618) 224-2815
Mailing address
620 N HARRISON ST, TRENTON, IL 62293-1071
(618) 401-7675
(618) 224-2815

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
IL

Other

Enumeration date
06/18/2007
Last updated
08/22/2020
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