Individual
MRS. ANGELA KAY KRUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
9495 HOLY CROSS LN, SUITE 103, BREESE, IL 62230-3510
(618) 526-2222
(618) 526-7680
Mailing address
10 ZORN RD, POCAHONTAS, IL 62275-3644
(618) 669-2395
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
IL
Other
Enumeration date
08/21/2006
Last updated
07/08/2007
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