Individual
MS. MOIRA RACHEL FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
1875 LUCILLE LN, HANOVER PARK, IL 60133-5352
(630) 439-4884
Mailing address
1875 LUCILLE LN, HANOVER PARK, IL 60133-5352
(630) 439-4884
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164004635
IL
Other
Enumeration date
04/09/2012
Last updated
04/09/2012
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