Individual
REBECCA COPELAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LDN, CDCES
Contact information
Practice address
223 W WAGLER ST, MORTON, IL 61550-1843
(309) 229-4848
Mailing address
223 W WAGLER ST, MORTON, IL 61550-1843
(309) 229-4848
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164007210
IL
Other
Enumeration date
05/14/2025
Last updated
05/14/2025
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