DUA ALDASOUQI MA, RDN
Individual Provider (NPI-1)
Active
Dietitian, Registered
Provider Information
- NPI Number
1316459001- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MA, RDN
- Status
- Active
Contact & Location
- Address
- 618 COREY LN, CHAMPAIGN, IL, 618221047
- Phone
- (314) 833-9694
Specialties & Taxonomies
Dietitian, Registered
Primary License: MI #1011589
All Addresses
MAILING
PO BOX 3852
CHAMPAIGN, IL, 618263852