Individual
MRS. MARY SUE SANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
11 NERSESIAN WAY, HAMPTON, NH 03842-1561
(603) 929-2120
Mailing address
11 NERSESIAN WAY, HAMPTON, NH 03842
(603) 929-2120
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
290
NH
Other
Enumeration date
01/10/2007
Last updated
07/08/2007
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