ANGELICA ANSELM

DANVILLE, IL
NPI1386098556
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: IL  164.006681)
Enumeration Date2016-04-14
Last Update Date2016-04-14
Business Address
-- ANGELICA ANSELM
812 N LOGAN AVE
DANVILLE, IL 61832-3752
Phone number: 217-443-5000
Mailing Address
-- ANGELICA ANSELM
812 N LOGAN AVE
DANVILLE, IL 61832-3752
Phone number: 217-443-5000