Individual
BRENDA MURRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
356 SCOTT ST, LAKE FOREST, IL 60045-1462
(908) 285-0251
Mailing address
356 SCOTT ST, LAKE FOREST, IL 60045
(908) 285-0251
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164005340
IL
Other
Enumeration date
10/08/2014
Last updated
10/08/2014
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