Canales, Dasia Julisa

Canales, Dasia Julisa is an individual health care provider with primary practice located at 1855 Ames Blvd , Marrero LA 70072-3429. She recently has only one registered license in Dietary & Nutritional Service Providers / Nutritionist, which is considered as her primary health care specialty. Canales, Dasia Julisa can be contacted via phone (504) 371-8958.

Contact Information

Primary practice address
1855 Ames Blvd Marrero LA 70072-3429
Phone: (504) 371-8958
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutritionist 133N00000X 1976 Louisiana

Profile Details

NPI number 1962670414
LBN Legal business name Canales, Dasia Julisa
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 19th, 2008
Last updated Feb 19th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962670414 NPPES
Louisiana MEDICAID 1454117

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