Individual
ANN SAMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
429 OAK KNOLLS AVE, ROCKFORD, IL 61107-4637
(815) 871-1793
Mailing address
429 OAK KNOLLS AVE, ROCKFORD, IL 61107-4637
(815) 871-1793
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
164002312
IL
Other
Enumeration date
04/15/2011
Last updated
04/15/2011
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