Organization
SARA ELLEN HASSELL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARA ELLEN HASSELL RD, CN, LD (REGISTERED DIETITIAN)
(985) 772-1551
Entity
Organization
Contact information
Practice address
13321 VENDETTA WAY UNIT 101, LOUISVILLE, KY 40245-7631
(985) 772-1551
(502) 241-2602
Mailing address
13321 VENDETTA WAY UNIT 101, LOUISVILLE, KY 40245-7631
(985) 772-1551
(502) 241-2602
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
169345
KY
Other
Enumeration date
05/21/2010
Last updated
03/24/2018
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