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Individual

MRS. CHRISTINA L WATTERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S, R.D.

Contact information

Practice address
2930 18TH AVE, ROCK ISLAND, IL 61201-4757
(309) 793-0684
Mailing address
2930 18TH AVE, ROCK ISLAND, IL 61201-4757
(309) 793-0684

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
001981
IA
133V00000X
Registered Dietitian
Primary
164.004912
IL

Other

Enumeration date
03/11/2013
Last updated
03/11/2013
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