Individual
AUSTIN YOUNGMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RD, LDN
Contact information
Practice address
600 NE WATER ST, PEORIA, IL 61603-4246
(309) 258-5103
Mailing address
600 NE WATER ST, PEORIA, IL 61603-4246
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164006994
IL
Other
Enumeration date
11/18/2016
Last updated
11/18/2016
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