Individual
MRS. MARY CLARE REITER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D., L.D.
Contact information
Practice address
4505 HOMAN CREEK DR, QUINCY, IL 62305-9633
(217) 222-1301
(217) 222-1301
Mailing address
4505 HOMAN CREEK DR, QUINCY, IL 62305-9633
(217) 222-1301
(217) 222-1301
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
164001391
IL
133V00000X
Registered Dietitian
Primary
2004025297
MO
Other
Enumeration date
11/16/2007
Last updated
11/16/2007
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