DUA ALDASOUQI

CHAMPAIGN, IL
NPI1316459001
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: MI  1011589)
Enumeration Date2017-11-02
Last Update Date2017-11-02
Business Address
DUA ALDASOUQI MA, RDN
618 COREY LN
CHAMPAIGN, IL 61822-1047
Phone number: 314-833-9694
Mailing Address
DUA ALDASOUQI MA, RDN
PO BOX 3852
CHAMPAIGN, IL 61826-3852
Phone number: