Provider Demographics
NPI:1770162752
Name:HADER, SARAH M (RD)
Entity type:Individual
Prefix:MS
First Name:SARAH
Middle Name:M
Last Name:HADER
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:618 E 23RD AVE APT E
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99203-2372
Mailing Address - Country:US
Mailing Address - Phone:509-499-4881
Mailing Address - Fax:
Practice Address - Street 1:618 E 23RD AVE APT E
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99203-2372
Practice Address - Country:US
Practice Address - Phone:509-499-4881
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-06
Last Update Date:2021-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered