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Contact Information

LEILA DAVIS
17806 80TH AVE NE
KENMORE, WA98028-1806
 Phone: 870-224-5492
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dietetic Technician, Registered

136A00000X
Indicates primary specialty

NPI Profile & details for LEILA DAVIS · (Female)

NPI Number 1295193084
Status Active
Credentials
Entity Individual
Enumeration date 02/08/2016
Last updated 02/08/2016 - About 10 years ago
Sole proprietor 1 Not specified
Identifiers
  • AR License # 1057724
  • WA Other 1057724 COMMISSION ON DIETETIC REGISTRATION
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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