Individual
ELAYNA FEHR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RDN, LDN, CLC
Contact information
Practice address
207 E HAMILTON RD, BLOOMINGTON, IL 61704-7527
(209) 827-4090
Mailing address
411 N WEST ST, TREMONT, IL 61568-8508
(309) 620-6854
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164.007971
IL
Other
Enumeration date
04/22/2020
Last updated
04/22/2020
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