IndividualActive
Angela Thomason, RD
NPI 1760660823 · Pediatric Nutrition Registered Dietitian · Belleville, IL
Provider details
- NPI number
- 1760660823
- Entity type
- Individual
- Primary specialty
- Pediatric Nutrition Registered DietitianDietary & Nutritional Service Providers
- Credential
- RD
- Sex
- Female
- Sole proprietor
- No
- License
- 164.003677 (IL)
Mailing address
405 Polk St
Belleville, IL 62220-2441
Registry dates
- Enumerated
- 2008-01-31
- Last updated
- 2009-11-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.