AMANDA R LARREA

PLAINFIELD, IL
NPI1952024952
Former NameAMANDA R SEVERSON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: IL  164-009042)
Enumeration Date2022-09-23
Last Update Date2024-08-12
Business Address
AMANDA R LARREA RD
12004 S ROUTE 59 UNIT 100
PLAINFIELD, IL 60585-5108
Phone number: 630-364-7850
Mailing Address
AMANDA R LARREA RD
PO BOX 713260
CHICAGO, IL 60677-1260
Phone number: 630-469-9200
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