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NPI Code Detail

MEDICARE: CHELSEA LEE SANDERS R.D.

MEDICARE:   CHELSEA LEE SANDERS  R.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1133V00000XRegistered Dietitian913881AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1913881OTHERAZCDR

General Provider Information

NPI Number : 1710165543
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHELSEA LEE SANDERS R.D.
Provider Business Mailing Address
First Line : 151 COLONIA DE SALUD
Second Line : STE B
City : SIERRA VISTA
State : AZ
Zip : 85635-8223
Country : US
Telephone Number : 520-263-3835
Fax Number :
Provider Business Practice Location Address
First Line : 5700 E HIGHWAY 90
Second Line :
City : SIERRA VISTA
State : AZ
Zip : 85635-9110
Country : US
Telephone Number : 520-263-3835
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/04/2008
Last Update Date : 02/01/2017

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Directions to “ CHELSEA LEE SANDERS R.D.” Practice Location

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