DEREK SCOTT UTLEY

MARION, IL
NPI1124808449
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: IL  164007944)
Enumeration Date2023-10-03
Last Update Date2023-10-03
Business Address
Mr. DEREK SCOTT UTLEY RD, LDN
2401 W MAIN ST
MARION, IL 62959-1188
Phone number: 618-997-5311
Mailing Address
Mr. DEREK SCOTT UTLEY RD, LDN
2401 W MAIN ST
MARION, IL 62959-1188
Phone number: 618-843-1735