Starr'retiece R Gibson, LICENSEDDIETITIAN
Starr'retiece R Gibson, LICENSEDDIETITIAN is a Registered Dietitian in Sauget, Illinois. Licensed in Illinois. Registered with an NPI since 2024.
- Licensed in
- IL
- In the registry since
- 2024
Practice location Address checks out
2071 Goose Lake RdSauget, IL 62206-2822
Phone: (618) 857-2700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Registered Dietitian (primary) | Taxonomy 133V00000X · Licence 164.008825 (IL) |
|---|
Record details
| NPI number | 1033934641 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | LICENSEDDIETITIAN |
| Sole proprietor | No |
| NPI enumerated | November 19, 2024 |
| Last updated in NPPES | November 19, 2024 |
| Certification date | November 19, 2024 |