Individual
MRS. KASIE LYNN SANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NUTRITIONIST
Contact information
Practice address
9502 HUEBNER RD STE 301, SAN ANTONIO, TX 78240-1683
(210) 478-5300
Mailing address
8215 MIDWAY DEPOT, SAN ANTONIO, TX 78255-2258
(210) 478-5300
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
Other
Enumeration date
09/18/2007
Last updated
09/18/2007
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