Individual
EMILY MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1518 W CANDLETREE DR APT 208, PEORIA, IL 61614-1539
(971) 260-0703
Mailing address
1518 W CANDLETREE DR APT 208, PEORIA, IL 61614-1539
(971) 260-0703
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164007127
IL
Other
Enumeration date
05/24/2017
Last updated
05/06/2024
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