Individual
SANDRA HECTOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHN
Contact information
Practice address
10150 HIGHLAND MANOR DR, TAMPA, FL 33610-9713
(813) 314-2469
Mailing address
10280 POST HARVEST DR, RIVERVIEW, FL 33578-3656
(813) 500-1065
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
—
—
174H00000X
Health Educator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
999
PUBLIC HEALTH NUTRITIONIST EDUCATOR
FL
Enumeration date
03/28/2018
Last updated
03/28/2018
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