MRS. Sally Stephens Logan, R.D.

NPI #1023298650 in Virginia Beach, Virginia

Provider Information

NPI Number: 1023298650
Entity Type: Individual
Name: MRS. Sally Stephens Logan, R.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dietitian, Registered
Credential: R.D.
Enumeration Date: Nov 12, 2007
Last Updated: Nov 12, 2007

Practice Location

Address: 1732 BUCKLEY ARCH
City: Virginia Beach
State: Virginia
ZIP Code: 23453-7081
Phone: (757) 430-8256

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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