Individual
SARA BURNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
WHMC 959 MDTS MTN, 2200 BERGQUIST DRIVE, SUITE 1, LACKLAND AFB, TX 78236-9908
(210) 292-7341
(210) 292-7826
Mailing address
121 VINSANT CIR, BROOKS CITY-BASE, TX 78235-1015
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
709319 NATL REGISTR.
IL
Other
Enumeration date
05/09/2007
Last updated
07/08/2007
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