Provider Demographics
NPI:1427718733
Name:GLYNN, SARAH BAILEY (RD)
Entity type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:BAILEY
Last Name:GLYNN
Suffix:
Gender:F
Credentials:RD
Other - Prefix:MISS
Other - First Name:SARAH
Other - Middle Name:LANE
Other - Last Name:BAILEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RD
Mailing Address - Street 1:2540 EAST ST
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:CA
Mailing Address - Zip Code:94520
Mailing Address - Country:US
Mailing Address - Phone:925-674-2667
Mailing Address - Fax:925-674-2499
Practice Address - Street 1:2540 EAST ST
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:CA
Practice Address - Zip Code:94520
Practice Address - Country:US
Practice Address - Phone:925-674-2667
Practice Address - Fax:925-674-2499
Is Sole Proprietor?:No
Enumeration Date:2021-12-28
Last Update Date:2021-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133VN1201XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Obesity and Weight Management