Individual
MRS. ANGELA MARIE STASTNY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D. L.D.
Contact information
Practice address
42W794 MCDONALD RD, CAMPTON HILLS, IL 60124
(630) 464-8681
Mailing address
42W794 MCDONALD RD, CAMPTON HILLS, IL 60124
(630) 464-8681
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164000882
IL
Other
Enumeration date
09/24/2010
Last updated
09/24/2010
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