Individual
MR. RONALD RAYMOND SANDRETH JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RD,LD
Contact information
Practice address
LOUIS A. JOHNSON VAMC, 1 MEDICAL CENTER DRIVE, CLARKSBURG, WV 26301
(304) 626-7730
Mailing address
1 MEDICAL CENTER DR, LOUIS A JOHNSON VAMC, CLARKSBURG, WV 26301
(304) 626-7730
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
186
WV
Other
Enumeration date
06/28/2006
Last updated
07/12/2007
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