Individual
MRS. SANDRA JS ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
94-824 KAAHOLO ST, WAIPAHU, HI 96797-1286
(808) 677-0596
Mailing address
94-824 KAAHOLO STREET, WAIPAHU, HI 96797
(808) 677-0596
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
574596
HI
Other
Enumeration date
10/04/2006
Last updated
07/08/2007
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