JENELL A PLUSKOTA

CARTERVILLE, IL
NPI1356308928
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: IL  164004390)
Additional Taxonomies133N00000X Nutritionist
(Licence: IL  164004390)
133NN1002X Nutritionist, Nutrition, Education
(Licence: IL  164004390)
Enumeration Date2006-04-27
Last Update Date2009-01-13
Business Address
Ms. JENELL A PLUSKOTA BS RD
106 S DIVISION ST
CARTERVILLE, IL 62918-1359
Phone number: 618-985-4278
Mailing Address
Ms. JENELL A PLUSKOTA BS RD
106 S DIVISION ST
CARTERVILLE, IL 62918-1359
Phone number: 618-985-4278