Provider Demographics
NPI:1730323593
Name:SAWYER, CHRISTINE M (RDN, CLT)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:M
Last Name:SAWYER
Suffix:
Gender:F
Credentials:RDN, CLT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:938 DEWING AVE STE 1
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:CA
Mailing Address - Zip Code:94549-4271
Mailing Address - Country:US
Mailing Address - Phone:925-360-0061
Mailing Address - Fax:925-385-7019
Practice Address - Street 1:938 DEWING AVE STE 1
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:CA
Practice Address - Zip Code:94549-4271
Practice Address - Country:US
Practice Address - Phone:817-569-4516
Practice Address - Fax:817-569-4517
Is Sole Proprietor?:No
Enumeration Date:2009-04-23
Last Update Date:2019-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered