Individual
SALLY A ADAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
223 CIBEQUE CIRCLE ROAD, SAN CARLOS, AZ 85550-0208
(928) 475-2371
(928) 475-7370
Mailing address
PO BOX 208, SAN CARLOS, AZ 85550-0208
(928) 475-2371
(928) 475-7370
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
809443
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
169194
—
AZ
Enumeration date
03/08/2007
Last updated
07/09/2007
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