Grace Ellen Sourile, RD | |
4920 S 30th St, Suite 103, Omaha, NE 68107-1590 | |
(402) 734-2028 | |
Not Available |
Full Name | Grace Ellen Sourile |
---|---|
Gender | Female |
Speciality | Dietitian, Registered |
Location | 4920 S 30th St, Omaha, Nebraska |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235404864 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | 960 (Nebraska) | Primary |
Mailing Address | Practice Location Address |
---|---|
Grace Ellen Sourile, RD 4920 S 30th St, Suite 103, Omaha, NE 68107-1590 Ph: (402) 734-2028 | Grace Ellen Sourile, RD 4920 S 30th St, Suite 103, Omaha, NE 68107-1590 Ph: (402) 734-2028 |
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