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Individual

MRS. JUDY ESTELLE MANISCO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RD, LDN

Contact information

Practice address
40 PRAIRIE PARK DR, # 305, WHEELING, IL 60090-2725
(708) 257-5541
Mailing address
40 PRAIRIE PARK DR, # 305, WHEELING, IL 60090-2725
(708) 257-5541

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1640013123
IL

Other

Enumeration date
10/19/2015
Last updated
10/19/2015
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