Individual
KAITLYN RZASA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RDN, LDN
Contact information
Practice address
101 E 9TH ST, PANA, IL 62557-1716
(217) 562-2131
Mailing address
1850 MADISON AVE APT G, CHARLESTON, IL 61920-9399
(815) 685-0994
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86067136
IL
Other
Enumeration date
02/27/2018
Last updated
02/27/2018
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