Doctor Name: | MS. LATISHA SHAMECCA MARKS |
NPI Number: | 1649618869 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.D., L.D. |
License Number: | 48007709 |
Business Practice Address: | 1900 E Main St Nutrition And Food Services (120) Danville, IL - 618325100 |
Business Phone Number: | 2175545807 |
Business Fax Number: | |
Mailing Address: | 1900 E Main St, Nutrition And Food Services (120) DANVILLE |
State: | IL |
Postal Code: | 618325100 |
Phone Number: | 2175545807 |
Fax Number: | |
NPI Enumeration Date: | 06/10/2013 |
NPI Last Update Date: | 06/10/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 48007709 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | |
Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |