Individual
SHARON L ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
110 E WALLACE AVE, COEUR D ALENE, ID 83814-2948
(208) 966-4512
Mailing address
110 E WALLACE AVE, COEUR D ALENE, ID 83814-2948
(208) 966-4512
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI60098714
WA
Other
Enumeration date
04/20/2010
Last updated
09/13/2020
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