Individual
KATLEYA REYES BALDAZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., R.D., L.D.N
Contact information
Practice address
999 N PLAZA DR, 120, SCHAUMBURG, IL 60173-6022
(773) 704-5786
Mailing address
999 N PLAZA DR, 120, SCHAUMBURG, IL 60173-6022
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164005127
IL
Other
Enumeration date
02/03/2015
Last updated
08/21/2015
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