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SALLY A ADAY R.D.

>> Dietitian, Registered >> Dietary & Nutritional Service Providers

Registrant NPI Number: 1629109178

Individual Registrant:
 SALLY A ADAY R.D.
Gender: F
Not Sole Proprietor

Location and contact information for practice:
223 CIBEQUE CIRCLE ROAD  SAN CARLOS, AZ 85550-0208 US
Tel: 928-475-2371  Fax: 928-475-7370

Contact information for business:
PO BOX 208  SAN CARLOS, AZ 85550-0208 US
Tel: 928-475-2371  Fax: 928-475-7370

Registration Information:
NPI: 1629109178
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y133V00000XDietary & Nutritional Service Providers
Dietitian, Registered
809443

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
169194AZ05




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