SANDRA AVITIA

BERWYN, IL
NPI1033394911
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: IL  164.004753)
Enumeration Date2008-01-09
Last Update Date2008-01-09
Business Address
Miss SANDRA AVITIA R.D.
2111 WESLEY AVE
BERWYN, IL 60402-1860
Phone number: 708-655-5061
Mailing Address
Miss SANDRA AVITIA R.D.
2111 WESLEY AVE
BERWYN, IL 60402-1860
Phone number: 708-655-5061
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