Provider Demographics
NPI:1497819296
Name:GASKEY, SAUNDRA JO (RD)
Entity Type:Individual
Prefix:
First Name:SAUNDRA
Middle Name:JO
Last Name:GASKEY
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 1:222 HOOMOKU ST
Mailing Address - Street 2:
Mailing Address - City:KAHULUI
Mailing Address - State:HI
Mailing Address - Zip Code:96732-2564
Mailing Address - Country:US
Mailing Address - Phone:808-873-6633
Mailing Address - Fax:808-871-9204
Practice Address - Street 1:222 HOOMOKU ST
Practice Address - Street 2:
Practice Address - City:KAHULUI
Practice Address - State:HI
Practice Address - Zip Code:96732-2564
Practice Address - Country:US
Practice Address - Phone:808-873-6633
Practice Address - Fax:808-871-9204
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered