Individual
CHARLOTTE VANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, CSCS
Contact information
Practice address
1501 CENTRAL ST, EVANSTON, IL 60208-0840
(626) 383-4249
Mailing address
744 KILNALECK LN, GLENDORA, CA 91741-2244
(626) 383-4249
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164.006767
IL
Other
Enumeration date
04/06/2016
Last updated
04/06/2016
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