Anastasia E Malone, M.S, R.D, L.D, CPT
NPI #1912189127 in Springfield, Illinois
Provider Information
- NPI Number
- 1912189127
- Entity Type
- Individual
- Name
- Anastasia E Malone, M.S, R.D, L.D, CPT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dietitian, Registered
- Credential
- M.S, R.D, L.D, CPT
- Enumeration Date
- Nov 29, 2007
- Last Updated
- Nov 29, 2007
Practice Location
- Address
- 1701 S LINCOLN AVE
- City
- Springfield
- State
- Illinois
- ZIP Code
- 62704-3420
- Phone
- (217) 793-4367
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dietitian, Registered |
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