Individual
ANGELA BROOKE SEBREE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
701 N 1ST ST, FOOD & NUTRITION, SPRINGFIELD, IL 62781-0001
(217) 788-4381
Mailing address
701 N 1ST ST, FOOD & NUTRITION, SPRINGFIELD, IL 62781-0001
(217) 788-4381
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164005076
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
164005076
LICENSE
IL
Enumeration date
02/07/2011
Last updated
02/28/2011
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