Individual
MRS. ANNA CATHERINE PETERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS RD LDN
Contact information
Practice address
1533 LARK LANE, NAPERVILLE, IL 60565
(815) 210-1517
Mailing address
1533 LARK LANE, NAPERVILLE, IL 60565
(815) 210-1517
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164005342
IL
Other
Enumeration date
11/16/2021
Last updated
11/19/2021
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