Individual
MRS. SANDRA KAYE GILBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
SIDNEY/LAMONT ST, NUTRITION AND FOOD SERVICE (120), MOUNTAIN HOME, TN 37684
(412) 926-1171
(423) 979-3402
Mailing address
580 EBENEZER LOOP, CHUCKEY, TN 37641-5605
(423) 257-3085
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LDN0000000656
TN
133VN1004X
Pediatric Nutrition Registered Dietitian
LDN0000000656
TN
Other
Enumeration date
05/03/2006
Last updated
11/16/2012
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