Individual
MARCY CLINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1528 MORMAN RD, AMBOY, IL 61310-9745
(815) 274-8545
Mailing address
1528 MORMAN RD, AMBOY, IL 61310-9745
(815) 274-8545
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
—
IL
Other
Enumeration date
01/02/2024
Last updated
01/02/2024
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