Davis, Mara

Davis, Mara is an individual health care provider with primary practice located at 5901 Kingstowne Village Pkwy Ste 300 , Alexandria VA 22315-5883. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Davis, Mara can be contacted via phone (860) 796-1930.

Contact Information

Primary practice address
5901 Kingstowne Village Pkwy Ste 300 Alexandria VA 22315-5883
Phone: (860) 796-1930
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 001415 Connecticut
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 919705 North Carolina
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 919705 Virginia

Profile Details

NPI number 1790076883
LBN Legal business name Davis, Mara
Credentials MS, RD, CD-N, LDN
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2011
Last updated Sep 24th, 2018 - about 6 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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