Individual
REBECCAH EDWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
413 E JAMES ST, DWIGHT, IL 60420-1517
(650) 698-7622
Mailing address
413 E JAMES ST, DWIGHT, IL 60420-1517
(650) 698-7622
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86064627
IL
Other
Enumeration date
08/18/2025
Last updated
08/18/2025
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