Individual
CAROL LYNN SIEVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2 SAINT ANTHONYS WAY STE 305, ALTON, IL 62002-4569
(618) 462-2222
(618) 463-1494
Mailing address
2 SAINT ANTHONYS WAY STE 305, ALTON, IL 62002-4569
(618) 462-2222
(618) 463-1494
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
164000237
IL
Other
Enumeration date
06/04/2018
Last updated
06/04/2018
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