Individual
SARAH SHEPHERD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
443 HIGHWAY 105, PALMER LAKE, CO 80133-9003
(719) 660-2694
Mailing address
443 HIGHWAY 105, PALMER LAKE, CO 80133-9003
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1063705
COMMISSION ON DIETETIC REGISTRATION
CO
Enumeration date
05/30/2012
Last updated
05/22/2015
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