Individual
MRS. MARY ELLEN MCINERNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
431 WAKEFIELD LN, GENEVA, IL 60134-1006
(314) 550-3727
Mailing address
431 WAKEFIELD LN, GENEVA, IL 60134-1006
(314) 550-3727
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164005493
IL
Other
Enumeration date
01/04/2024
Last updated
01/04/2024
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