Organization
AMANDA CLAXTON NUTRITION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA CLAXTON (CEO/RD)
(217) 653-7194
Entity
Organization
Contact information
Practice address
415 S COREY ST, GRIGGSVILLE, IL 62340-1013
(217) 653-7194
Mailing address
415 S COREY ST, GRIGGSVILLE, IL 62340-1013
(217) 653-7194
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
12/01/2023
Last updated
12/01/2023
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