Individual
ABBY IOCCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD
Contact information
Practice address
320 E CENTRAL AVE, DECATUR, IL 62521-4665
(217) 877-9117
Mailing address
320 E CENTRAL AVE, DECATUR, IL 62521-4665
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164.007865
IL
Other
Enumeration date
10/24/2019
Last updated
10/24/2019
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