Provider Demographics
NPI:1922435742
Name:SAWKA, DOLORES (RDN)
Entity Type:Individual
Prefix:MS
First Name:DOLORES
Middle Name:
Last Name:SAWKA
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3133 N MAJESTY DR APT A
Mailing Address - Street 2:
Mailing Address - City:PRESCOTT VALLEY
Mailing Address - State:AZ
Mailing Address - Zip Code:86314-8925
Mailing Address - Country:US
Mailing Address - Phone:928-379-2255
Mailing Address - Fax:
Practice Address - Street 1:3133 N MAJESTY DR APT A
Practice Address - Street 2:
Practice Address - City:PRESCOTT VALLEY
Practice Address - State:AZ
Practice Address - Zip Code:86314-8925
Practice Address - Country:US
Practice Address - Phone:928-379-2255
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-11
Last Update Date:2013-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered