Individual
HELEN ANN SANDAGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
15630 18TH AVE, CLEARLAKE, CA 95422
(707) 995-5741
(707) 995-1408
Mailing address
5673 HILLTOP DR, KELSEYVILLE, CA 95451-9372
(707) 279-9311
(707) 279-9311
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
R408865
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5279735
—
CA
Enumeration date
12/01/2006
Last updated
07/09/2007
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