Individual
MRS. JACQUE LYNN SUTTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3300 N. MAIN ST., EAST PEORIA, IL 61611-1562
(309) 698-8190
(309) 698-8303
Mailing address
3300 N. MAIN ST., EAST PEORIA, IL 61611-1562
(309) 698-8190
(309) 698-8303
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164.001022
IL
Other
Enumeration date
07/11/2008
Last updated
05/10/2022
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