Individual
MRS. ROBERTA H SACCONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
600 N JORDAN AVENUE, BLOOMINGTON, IN 47405-3191
(812) 855-7338
(812) 855-4628
Mailing address
2908 KINGS CT, BLOOMINGTON, IN 47401-2409
(812) 331-1320
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
37001747A
IN
Other
Enumeration date
03/06/2007
Last updated
07/08/2007
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