Individual
MS. SANDRA MARIE EDMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS,RD,CD
Contact information
Practice address
3838 N. RURAL STREET 3RD FLOOR SUITE 300S, MARION COUNTY PUBLIC HEALTH DEPARTMENT CHRONIC DISEASE, INDIANAPOLIS, IN 46205-2930
(317) 221-2098
(317) 221-3114
Mailing address
3838 N. RURAL STREET 3RD FLOOR SUITE 300S, MARION COUNTY PUBLIC HEALTH DEPARTMENT CHRONIC DISEASE, INDIANAPOLIS, IN 46205-2930
(317) 221-2098
(317) 221-3114
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
634451
IN
Other
Enumeration date
02/08/2013
Last updated
02/08/2013
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