Individual
STARR'RETIECE R GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICENSED DIETITIAN
Contact information
Practice address
2071 GOOSE LAKE RD, SAUGET, IL 62206-2822
(618) 857-2700
Mailing address
2041 GOOSE LAKE RD, SAUGET, IL 62206-2822
(618) 332-0953
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164.008825
IL
Other
Enumeration date
11/19/2024
Last updated
11/19/2024
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