Individual provider · Type 1 NPI
Sandra Marie Phillips, LDN
Nutrition Education Nutritionist · Blue Island, IL
NPI number
1760787378
Active
Practice location
2262 W. 119th Pl.
Blue Island, IL 60406-1123
Fax (708) 385-0882
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nutrition Education Nutritionist Primary | 133NN1002X | 164.003956 (IL) |
Nutrition Education Nutritionist: Definition to come...
About NPI 1760787378
Sandra Marie Phillips, LDN's National Provider Identifier is 1760787378, issued on Jan 13, 2011. The primary taxonomy on file is Nutrition Education Nutritionist (133NN1002X), and the practice location is in Blue Island, IL. The record was last updated on Jan 13, 2011.