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Individual

AMANDA SALLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, RD, CSP, LDN

Contact information

Practice address
129 PALM COVE WAY, MOUNT PLEASANT, SC 29466-8160
(260) 804-2880
Mailing address
129 PALM COVE WAY, MOUNT PLEASANT, SC 29466-8160
(260) 804-2880

Taxonomy

Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
164.006966
IL
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
2758
SC

Other

Enumeration date
01/26/2017
Last updated
02/24/2025
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