Individual
ANGELICA ANSELM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
812 N LOGAN AVE, DANVILLE, IL 61832-3752
(217) 443-5000
(217) 477-2755
Mailing address
812 N LOGAN AVE, DANVILLE, IL 61832-3752
(217) 443-5000
(217) 477-2755
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164.006681
IL
Other
Enumeration date
04/14/2016
Last updated
04/14/2016
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