Individual
ABIGAIL ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD
Contact information
Practice address
1107 COLLEGE AVE, QUINCY, IL 62301-2600
(217) 214-5800
Mailing address
3410 HARMONY HL, QUINCY, IL 62301-4523
(618) 535-7127
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164007205
IL
133V00000X
Registered Dietitian
2024043882
MO
Other
Enumeration date
03/11/2025
Last updated
03/11/2025
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