Individual provider · NPI-1

Sasha Candice Bates, RD

Dietitian, Registered · Tempe, AZ

NPI number1982484366
StatusActive
Last updated in NPPESOct 3, 2023

Details

NPI
1982484366
Entity type
Individual (NPI-1)
Name
Sasha Candice Bates
Credential
RD
Sex
Female
Sole proprietor
Yes
Enumeration date
Oct 3, 2023
Certification date
Oct 3, 2023
Last updated
Oct 3, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
133V00000X Dietitian, Registered87276ORYes

Practice location

379 W Palomino Dr
Tempe, AZ 85284-5201

Phone 480-399-2275

Mailing address

379 W Palomino Dr
Tempe, AZ 85284-5201

Phone 480-399-2275

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