Angela Todd

NPI #1063455046 in Urbana, Illinois

Provider Information

NPI Number: 1063455046
Entity Type: Individual
Name: Angela Todd
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Dietitian, Registered
Enumeration Date: Jun 14, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: PROVENA COVENANT MEDICAL CENTER
Address 2: 1400 WEST PARK STREET
City: Urbana
State: Illinois
ZIP Code: 61801
Phone: (217) 337-4520

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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