Individual
AMANDA AYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
16609 BLACKFOOT DR, LOCKPORT, IL 60441-1501
(708) 705-4881
(815) 588-4016
Mailing address
16609 BLACKFOOT DR, LOCKPORT, IL 60441-1501
(708) 705-4881
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164.007178
IL
Other
Enumeration date
12/30/2018
Last updated
12/30/2018
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