Ellen C Homann, M.S, R.D., L.D.N

NPI #1316242233 in Mattoon, Illinois

Provider Information

NPI Number: 1316242233
Entity Type: Individual
Name: Ellen C Homann, M.S, R.D., L.D.N
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dietitian, Registered
Credential: M.S, R.D., L.D.N
Enumeration Date: Jan 25, 2011
Last Updated: Jan 25, 2011

Practice Location

Address: 501 LAKE LAND BLVD
Address 2: SUITE D
City: Mattoon
State: Illinois
ZIP Code: 61938-5283
Phone: (217) 258-3370

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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