Davila, Mary Loretta

Davila, Mary Loretta is an individual health care provider with primary practice located at 2710 Middlefield Rd , Redwood City CA 94063-3404. She recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Dietitian, Registered, Other Service Providers / Lactation Consultant, Non-RN. Dietary & Nutritional Service Providers / Dietitian, Registered is her primary health care specialty. Davila, Mary Loretta can be contacted via phone (650) 578-7141.

Contact Information

Primary practice address
2710 Middlefield Rd Redwood City CA 94063-3404
Phone: (650) 578-7141
Fax: (650) 298-6881
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 853097 California
Other Service Providers / Lactation Consultant, Non-RN 174N00000X L-19656

Profile Details

NPI number 1417309170
LBN Legal business name Davila, Mary Loretta
Credentials R.D. IBCLC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2016
Last updated Jul 6th, 2016 - about 9 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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