MRS. Heather Sue Illg, RD LD

NPI #1952704504 in Urbandale, Iowa

Provider Information

NPI Number
1952704504
Entity Type
Individual
Name
MRS. Heather Sue Illg, RD LD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dietetic Technician, Registered
Credential
RD LD
Enumeration Date
Sep 26, 2014
Last Updated
Sep 26, 2014

Practice Location

Address
8701 DOUGLAS AVE
State
Iowa
ZIP Code
50322-2200
Phone
(515) 251-5284

Specialties & Taxonomy Codes

Specialty
Dietetic Technician, Registered

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