STARR'RETIECE GIBSON, LICENSED DIETITIAN
Dietitian, Registered
Active
Individual
NPI: 1033934641
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dietitian, Registered | 133V00000X | Yes | 164.008825 (IL) |
Frequently Asked Questions
NPI 1033934641 is the National Provider Identifier for STARR'RETIECE GIBSON, LICENSED DIETITIAN, a Dietitian, Registered provider located in Sauget, IL. This NPI was enumerated on November 19, 2024.
STARR'RETIECE GIBSON, LICENSED DIETITIAN practices at 2071 GOOSE LAKE RD, Sauget, IL 62206.
Quick Facts
- NPI
- 1033934641
- Type
- Individual
- Enumerated
- Nov 19, 2024
- Last Updated
- Nov 19, 2024
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