HALEY NICHOLE GOODFELLOW

EDWARDSVILLE, IL
NPI1952929283
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: IL  164008029)
Additional Taxonomies133V00000X Dietitian, Registered
(Licence: MO  2020013164)
Enumeration Date2020-07-13
Last Update Date2020-07-13
Business Address
HALEY NICHOLE GOODFELLOW RD, LDN
60 S STATE ROUTE 157
EDWARDSVILLE, IL 62025-3846
Phone number: 618-655-8147
Mailing Address
HALEY NICHOLE GOODFELLOW RD, LDN
213 LONGVIEW DR
COLUMBIA, IL 62236-2079
Phone number: 618-531-6029