Individual
SANDRA ANN PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
560 W. MITCHELL STREET, SUITE 160, PETOSKEY, MI 49770
(231) 487-3118
(231) 487-3454
Mailing address
560 W. MITCHELL STREET, SUITE 160, PETOSKEY, MI 49770
(231) 487-3118
(231) 487-3454
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
06/05/2013
Last updated
06/04/2015
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