Individual
MRS. SALLY SIEFERT HOEDEBECKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LD, FADA
Contact information
Practice address
5158 BLACK HAWK RD BLDG E1930, ABERDEEN PROVING GROUND, MD 21010-5403
(410) 436-5388
(410) 436-3665
Mailing address
1136 PRIESTFORD RD, STREET, MD 21154-2005
(410) 688-5312
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT01885
TX
Other
Enumeration date
01/05/2007
Last updated
07/08/2007
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