NPI 1760238299

Colleen Clesen, NDTR

Practitioner Registered Dietetic Technician Batavia, IL

Practice location

Address: 14 N Island Ave, Batavia, IL 60510-1929
Phone: (630) 479-2086
Mailing address: 1225 Ash St, Saint Charles, IL 60174-4120

Registered specialties

Registered Dietetic Technician Primary

Dietary & Nutritional Service Providers Taxonomy 136A00000X Licence 86081341 (IL)

Other Dietetic Technician, Registered providers in Illinois →

Registry record

NPI: 1760238299
Entity type: Individual
Sex (as registered): Female
NPI issued: 25 Apr 2024
Record last updated: 25 Apr 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.