Individual
MS. MEGAN ELIZABETH MOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
1415 VERMONT ST, QUINCY, IL 62301-3119
(217) 223-8400
(217) 223-9716
Mailing address
1040 1/2 BROADWAY ST, QUINCY, IL 62301-2835
(217) 223-8400
(217) 223-9716
Taxonomy
Speciality
Code
Description
License number
State
133VN1006X
Metabolic Nutrition Registered Dietitian
Primary
164005000
IL
Other
Enumeration date
12/31/2009
Last updated
11/03/2010
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