Individual
SANDRA TANCREDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
5000 W NATIONAL AVE, MILWAUKEE, WI 53295-0001
(414) 384-2000
Mailing address
6874 DENNIS PATH, WEST BEND, WI 53090-8968
(414) 460-3722
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86026384
WI
Other
Enumeration date
05/27/2020
Last updated
05/27/2020
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