Individual
CHARLENE LYNETTE HOSKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
5401 N KNOXVILLE AVE STE 104, PEORIA, IL 61614-5021
(309) 643-6202
Mailing address
5803 N CYPRESS DR APT 3001, PEORIA, IL 61615-8410
(217) 918-1823
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164004496
IL
Other
Enumeration date
07/26/2022
Last updated
07/26/2022
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