Organization
TINY TOTS NUTRITION THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CYNTHIA D. KEDZIERSKI RD, LDN (REGISTERED DIETITIAN)
(815) 919-0312
Entity
Organization
Contact information
Practice address
16406 S WESTWOOD DR, LOCKPORT, IL 60441-7666
(815) 919-0312
(815) 305-7403
Mailing address
16406 S WESTWOOD DR, LOCKPORT, IL 60441-7666
(815) 919-0312
(815) 305-7403
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164003138
IL
Other
Enumeration date
02/04/2009
Last updated
03/02/2009
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