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SALLY AYOTTE RD
>> Dietitian, Registered >> Dietary & Nutritional Service ProvidersRegistrant NPI Number: 1295013027
Individual Registrant: SALLY AYOTTE RD
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
521 E 3RD ST SALIDA, CO 81201-2817 US
Tel: 303-908-2403 Fax: --
Tel: 303-908-2403 Fax: --
Contact information for business:
PO BOX 163 SALIDA, CO 81201-0163 US
Tel: 303-908-2403 Fax: --
Tel: 303-908-2403 Fax: --
Registration Information:
NPI: 1295013027
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 133V00000X | Dietary & Nutritional Service Providers Dietitian, Registered | CO | 15958 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
