Organization
CUPP NUTRITION SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARLENE CUPP RD, LDN (DIETITAN)
(815) 464-9734
Entity
Organization
Contact information
Practice address
733 SPRUCE RD, FRANKFORT, IL 60423-1039
(815) 263-4402
(815) 464-9734
Mailing address
733 SPRUCE RD, FRANKFORT, IL 60423-1039
(815) 263-4402
(815) 464-9734
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164.000250
IL
Other
Enumeration date
05/25/2016
Last updated
05/25/2016
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