Individual
MARLENE S. CUPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD,LDN
Contact information
Practice address
733 SPRUCE RD, FRANKFORT, IL 60423-1039
(815) 464-9734
(815) 464-9735
Mailing address
733 SPRUCE RD, FRANKFORT, IL 60423-1039
(815) 464-9734
(815) 464-9735
Taxonomy
Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
—
—
Other
Enumeration date
03/21/2007
Last updated
06/27/2013
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