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Contact Information

CONRAD SANDERS
21 B AVE
ZUNI, NM87327
 Phone: 505-782-4431
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
Indicates primary specialty

NPI Profile & details for CONRAD SANDERS · (Male)

NPI Number 1235990425
Status Active
Credentials
Entity Individual
Enumeration date 01/16/2024
Last updated 01/16/2024 - About 2 years ago
Sole proprietor 1 Yes
Identifiers
  • AZ License # 86115081
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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