Individual
MS. SUE ANN CARNAHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
410 NW 10TH ST, FAIRFIELD, IL 62837-1242
(618) 842-5924
Mailing address
410 NW 10TH ST, FAIRFIELD, IL 62837-1242
(618) 842-5924
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
IL
Other
Enumeration date
05/22/2007
Last updated
07/08/2007
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