Individual
SARAH L MATHAROO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED DIETICIAN
Contact information
Practice address
1098 S MAYO TRL, SUITE 303, PIKEVILLE, KY 41501-1546
(606) 218-4811
Mailing address
PO BOX 2917, PIKEVILLE, KY 41502-2917
(606) 218-4811
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2432
KY
133VN1004X
Pediatric Nutrition Registered Dietitian
1011500
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004909976
—
VA
Enumeration date
04/08/2011
Last updated
10/28/2014
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