Individual
MISS MAYURI RANGDAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LDN
Contact information
Practice address
2640 W STONEHENGE CT, PEORIA, IL 61615-7477
(309) 222-2456
Mailing address
2640 WEST STONEHENGE CT, PEORIA, IL 61615
(309) 222-2456
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164.005407
IL
Other
Enumeration date
04/04/2012
Last updated
04/04/2012
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