Individual
MISS JULIE ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D., L.D.N., C.D.E.
Contact information
Practice address
100 FITNESS DR, BOURBONNAIS, IL 60914-9584
(815) 936-6515
Mailing address
100 FITNESS DR, BOURBONNAIS, IL 60914-9584
(815) 936-6515
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164.000431
IL
Other
Enumeration date
11/05/2014
Last updated
11/05/2014
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