Individual
THERESA LYNN GILBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
4881 SUGARMAPLE RD, 88 MEDICAL GROUP SGQD, WRIGHT PATTERSON AFB, OH 45433
(937) 257-9069
Mailing address
1557 LANGDON DR, CENTERVILLE FINANCE, OH 45459-5006
(937) 648-6095
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
5857
OH
Other
Enumeration date
11/08/2006
Last updated
07/08/2007
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