Individual
ANNA V VODOPYANOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
4315 N OAKLEY AVE APT 2, CHICAGO, IL 60618-1697
(323) 899-0020
Mailing address
4315 N OAKLEY AVE APT 2, CHICAGO, IL 60618-1697
(323) 899-0020
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164.009485
IL
Other
Enumeration date
10/21/2024
Last updated
10/21/2024
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