Gloria Sample, RD

NPI #1750590311 in Oswego, Illinois

Provider Information

NPI Number: 1750590311
Entity Type: Individual
Name: Gloria Sample, RD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dietitian, Registered
Credential: RD
Enumeration Date: May 21, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 411 FAYETTE DR
City: Oswego
State: Illinois
ZIP Code: 60543-7719
Phone: (630) 551-0164

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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Organizations

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