Provider Demographics
NPI:1851327316
Name:LAYE, SARAH KATHERINE (MS, RD)
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:KATHERINE
Last Name:LAYE
Suffix:
Gender:F
Credentials:MS, RD
Other - Prefix:MISS
Other - First Name:SARAH
Other - Middle Name:KATHERINE
Other - Last Name:DAYOC
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, RD
Mailing Address - Street 1:1460 BELLO DR
Mailing Address - Street 2:
Mailing Address - City:DIXON
Mailing Address - State:CA
Mailing Address - Zip Code:95620-4838
Mailing Address - Country:US
Mailing Address - Phone:707-435-2211
Mailing Address - Fax:707-421-4740
Practice Address - Street 1:2101 COURAGE DR
Practice Address - Street 2:MS 10-100, SCH AND SS
Practice Address - City:FAIRFIELD
Practice Address - State:CA
Practice Address - Zip Code:94533-6717
Practice Address - Country:US
Practice Address - Phone:707-435-2213
Practice Address - Fax:707-421-4740
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA954666133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered