Davis, Marlene Rose

Davis, Marlene Rose is an sole proprietor health care provider with primary practice located at 419 Country Ln , San Antonio TX 78209-2320. She recently has 4 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Nutrition, Education, Dietary & Nutritional Service Providers / Dietitian, Registered, Dietary & Nutritional Service Providers / Nutrition, Renal, Dietary & Nutritional Service Providers / Nutrition, Metabolic. Dietary & Nutritional Service Providers / Nutrition, Renal is her primary health care specialty. Davis, Marlene Rose can be contacted via phone (210) 828-5487.

Contact Information

Primary practice address
419 Country Ln San Antonio TX 78209-2320
Phone: (210) 828-5487
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutrition, Education 133NN1002X
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X DT05210 Texas
Dietary & Nutritional Service Providers / Nutrition, Renal 133VN1005X
Dietary & Nutritional Service Providers / Nutrition, Metabolic 133VN1006X

Profile Details

NPI number 1376814145
LBN Legal business name Davis, Marlene Rose
Credentials RD/LD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 25th, 2012
Last updated Jan 25th, 2012 - about 13 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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