Provider Demographics
NPI:1427625797
Name:SANCHEZ, DANA (RDN)
Entity type:Individual
Prefix:
First Name:DANA
Middle Name:
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7850 N SILVERBELL RD STE 114
Mailing Address - Street 2:PMB: 114-160
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85743-8270
Mailing Address - Country:US
Mailing Address - Phone:520-246-5621
Mailing Address - Fax:
Practice Address - Street 1:12260 W RUDASILL RD
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85743-9734
Practice Address - Country:US
Practice Address - Phone:520-246-5621
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-07
Last Update Date:2024-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ86116458133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered