Individual
CONRAD SANDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
21 B AVE, ZUNI, NM 87327
(505) 782-4431
Mailing address
2616 N FREMONT AVE, TUCSON, AZ 85719-3015
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86115081
AZ
Other
Enumeration date
01/16/2024
Last updated
01/16/2024
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