KIMBERLY M OTTER

QUINCY, IL
NPI1245232909
Former NameKIMBERLY M SWEDELL
Entity TypeIndividual
GenderFemale
Sole Proprietor ?
Primary Taxonomy133V00000X Dietitian, Registered
Additional Taxonomies133V00000X Dietitian, Registered
(Licence: MO  2004029302)
Enumeration Date2005-08-12
Last Update Date2007-07-08
Business Address
MRS. KIMBERLY M OTTER RD LDN
935 JERSEY ST
QUINCY, IL 62301-4030
Phone number: 217-228-2413
Mailing Address
MRS. KIMBERLY M OTTER RD LDN
935 JERSEY ST
QUINCY, IL 62301-4030
Phone number: 217-228-2413