Organization
DIETITIAN SUPPORT SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEIGH STARR RDN (REGISTERED DIETITIAN)
(224) 623-3330
Entity
Organization
Contact information
Practice address
3675 RIVER RD N STE 103, KEIZER, OR 97303-5994
(224) 623-3330
Mailing address
3581 PERSIMMON DR, ALGONQUIN, IL 60102-4816
(224) 623-3330
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
03/13/2023
Last updated
04/01/2026
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