TASHANNA GILLENWATER

MATTESON, IL
NPI1831885292
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy174H00000X Health Educator
(Licence: IL  340416)
Additional Taxonomies133N00000X Nutritionist
(Licence: IL  3020440)
171400000X 
(Licence: IL  340416)
171400000X 
Enumeration Date2023-04-17
Last Update Date2023-05-05
Business Address
DR. TASHANNA GILLENWATER ED.D
3818 216TH PL
MATTESON, IL 60443-2725
Phone number: 773-269-0301
Mailing Address
DR. TASHANNA GILLENWATER ED.D
3818 216TH PL
MATTESON, IL 60443-2725
Phone number: 773-269-0301
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