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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

NPI # 1295193084
LBN Legal business name LEILA DAVIS
Authorized official LEILA DAVIS - (NUTRITION AND DIET TECHNICINA)
Entity Organization
Organization subpart 1 No
Enumeration date 02/08/2016
Last updated 02/08/2016 - About 10 years ago
Identifiers
AR License # 1057724
WA Other 1057724 COMMISSION ON DIETETIC REGISTRATION
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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