Provider Demographics
NPI:1295915130
Name:SANCHEZ, BONNIE LEEANN (RD, LDN, CDCES)
Entity type:Individual
Prefix:MS
First Name:BONNIE
Middle Name:LEEANN
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:RD, LDN, CDCES
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:429 LADY BUG LN
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28411-8013
Mailing Address - Country:US
Mailing Address - Phone:910-319-1532
Mailing Address - Fax:
Practice Address - Street 1:429 LADY BUG LN
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28411-8013
Practice Address - Country:US
Practice Address - Phone:910-319-1532
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-11-08
Last Update Date:2021-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCL002920133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered