Marilyn Kay Derry

NPI #1770795346 in Macomb, Illinois

Provider Information

NPI Number
1770795346
Entity Type
Individual
Name
Marilyn Kay Derry
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dietitian, Registered
Enumeration Date
May 4, 2007
Last Updated
Jul 9, 2007

Practice Location

Address
525 E GRANT ST
City
Macomb
ZIP Code
61455-3313
Phone
(309) 833-4101

Specialties & Taxonomy Codes

Specialty
Dietitian, Registered

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