MS. Rebecca Ann Blackburn, RD

NPI #1750445219 in Kokomo, Indiana

Provider Information

NPI Number
1750445219
Entity Type
Individual
Name
MS. Rebecca Ann Blackburn, RD
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dietitian, Registered
Credential
RD
Enumeration Date
Dec 20, 2006
Last Updated
Jul 9, 2007

Practice Location

Address
3500 S LAFOUNTAIN ST
City
Kokomo
State
Indiana
ZIP Code
46902-3803
Phone
(765) 453-8352

Specialties & Taxonomy Codes

Specialty
Dietitian, Registered

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