Provider Demographics
NPI:1780057117
Name:DELCOURT, SARAH (MS, RDN)
Entity type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:
Last Name:DELCOURT
Suffix:
Gender:F
Credentials:MS, RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5321 LA LUNA DR
Mailing Address - Street 2:
Mailing Address - City:LA PALMA
Mailing Address - State:CA
Mailing Address - Zip Code:90623-2053
Mailing Address - Country:US
Mailing Address - Phone:714-471-6656
Mailing Address - Fax:
Practice Address - Street 1:5321 LA LUNA DR
Practice Address - Street 2:
Practice Address - City:LA PALMA
Practice Address - State:CA
Practice Address - Zip Code:90623-2053
Practice Address - Country:US
Practice Address - Phone:714-471-6656
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-11-06
Last Update Date:2015-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered