Individual
MRS. TERESA GEHRT SANBORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
1105 SUNSET AVE., MANHATTAN, KS 66502-3381
(785) 776-3322
Mailing address
1823 COLLEGE AVE., MANHATTAN, KS 66502-3381
(785) 776-3322
(785) 587-5447
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
583
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100426580A
—
KS
Enumeration date
08/11/2005
Last updated
08/11/2010
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