Individual
DIANE M MAES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
211 S 3RD ST, BELLEVILLE, IL 62220-1915
(618) 234-2120
Mailing address
20 CHAUTAUQUA DR, BELLEVILLE, IL 62220-3027
(618) 233-4764
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
IL
Other
Enumeration date
07/27/2007
Last updated
07/27/2007
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