Individual
AUDRA LEIGH CISNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
1400 W PARK ST, URBANA, IL 61801-2334
(217) 337-2890
Mailing address
14 NIGHTINGALE CIR, CAMARGO, IL 61919-3504
(217) 714-4708
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164004975
IL
Other
Enumeration date
08/26/2020
Last updated
08/26/2020
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