Individual
AMY SANFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
W270N6845 WOODLAND OAKS DR, SUSSEX, WI 53089-2343
(262) 370-3677
Mailing address
W270N6845 WOODLAND OAKS DR, SUSSEX, WI 53089-2343
(262) 370-3677
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1432-029
WI
Other
Enumeration date
03/17/2016
Last updated
03/17/2016
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