Individual
REBECCA MARIE BLACKLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
5313 POPLAR GLEN CT, PLAINFIELD, IL 60586-6620
(815) 254-5163
Mailing address
5313 POPLAR GLEN CT, PLAINFIELD, IL 60586-6620
(815) 254-5163
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164-003446
IL
Other
Enumeration date
11/11/2008
Last updated
11/11/2008
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