Mcdonell, Mary

Mcdonell, Mary is an individual health care provider with primary practice located at 365 Tesconi Cir Ste B , Santa Rosa CA 95401-4617. She recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Dietitian, Registered, Nursing Service Providers / Diabetes Educator. Dietary & Nutritional Service Providers / Dietitian, Registered is her primary health care specialty. Mcdonell, Mary can be contacted via phone (707) 575-6043.

Contact Information

Primary practice address
365 Tesconi Cir Ste B Santa Rosa CA 95401-4617
Phone: (707) 575-6043
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 709757 California
Nursing Service Providers / Diabetes Educator 163WD0400X 499778 California

Profile Details

NPI number 1033463260
LBN Legal business name Mcdonell, Mary
Credentials RD, RN
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2012
Last updated Nov 9th, 2012 - about 12 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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