Individual
MISS JUDY GALANTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED DIETICIAN
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
13309
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13309
COMMISSION ON DIETETIC RE
IL
01
—
952662606
EPDB TAX ID
CA
05
—
FHC70769F
—
CA
Enumeration date
04/23/2007
Last updated
06/17/2010
Update your record
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