Provider Demographics
NPI:1154000784
Name:TAGGART, SAUNDRA (MA NUTRITION)
Entity type:Individual
Prefix:
First Name:SAUNDRA
Middle Name:
Last Name:TAGGART
Suffix:
Gender:F
Credentials:MA NUTRITION
Other - Prefix:
Other - First Name:SAUNDI
Other - Middle Name:
Other - Last Name:TAGGART
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:37 SOUTHERN HILLS DR
Mailing Address - Street 2:
Mailing Address - City:ALISO VIEJO
Mailing Address - State:CA
Mailing Address - Zip Code:92656-8055
Mailing Address - Country:US
Mailing Address - Phone:714-801-8999
Mailing Address - Fax:
Practice Address - Street 1:37 SOUTHERN HILLS DR
Practice Address - Street 2:
Practice Address - City:ALISO VIEJO
Practice Address - State:CA
Practice Address - Zip Code:92656-8055
Practice Address - Country:US
Practice Address - Phone:714-801-8999
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-12
Last Update Date:2023-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist