Individual
MRS. SARA NAMKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
2122 N 27TH ST, DECATUR, IL 62526-2191
(217) 876-5292
(217) 876-5375
Mailing address
2300 N EDWARD ST, GSBLL, DECATUR, IL 62526-4163
(217) 876-2857
(217) 876-2874
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164.004964
IL
Other
Enumeration date
05/01/2014
Last updated
09/04/2014
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