Individual
SONDRA CLARKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D., L.D.N
Contact information
Practice address
2304 JOSEPH ST, CHAMPAIGN, IL 61822-3637
(217) 721-6226
Mailing address
2304 JOSEPH ST, CHAMPAIGN, IL 61822-3637
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164.004876
IL
Other
Enumeration date
08/07/2015
Last updated
08/07/2015
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