Suelita Reyes De Lara in Towson - Dietitian, Registered

Suelita Reyes De Lara - NPI 1083708291

Suelita Reyes De Lara is a Dietitian, Registered in Towson, Maryland. Suelita Reyes De Lara practices all healthcare services and medical treatments related to Dietitian, Registered. The NPI Number for Suelita Reyes De Lara is 1083708291. The last update date is 2007-07-08.

Suelita Reyes De Lara's current location address is 1012 Marleigh Cir, Towson, Maryland. You can contact this provider via phone number 4106057629 and fax number 4106057691. The mailing address for Suelita Reyes De Lara is 1012 Marleigh Cir, Towson, Maryland. To know further, please read the information below!

Provider Profile Detail

Provider Name Suelita Reyes De Lara
Address 1012 Marleigh Cir, Towson, Maryland
Phone Number 4106057629
Fax Number 4106057691
Sole Proprietor N
Credentials RD.LD.MS.

NPI Number Detail

NPI Number 1083708291
Provider Enumeration Date 2006-10-03
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1012 Marleigh Cir
City Towson
State Maryland (MD)
Post Code 212042205
Phone Number 4106057629
Fax Number 4106057691

Provider's Primary Taxonomy Detail

Speciality Dietitian, Registered
Taxonomy 133V00000X
Licence No R369988
Definition:
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
R369988 MD REGISTERED DIETITIAN

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FAQs about Suelita Reyes De Lara

What is the unique 10-digit identification code assigned to Suelita Reyes De Lara by the Centers for Medicare & Medicaid Services?

The Suelita Reyes De Lara has been issued the NPI (National Provider Identifier) 1083708291, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the Suelita Reyes De Lara's physical address?

The Suelita Reyes De Lara is physically located at 1012 Marleigh Cir, in the city of Towson, MD, with the postal code 212042205.

What is the Suelita Reyes De Lara's specialty and taxonomy code?

The Suelita Reyes De Lara's specialty is Dietitian, Registered, and the corresponding taxonomy code is 133V00000X.

On what date was the 1083708291 assigned to Suelita Reyes De Lara?

The Suelita Reyes De Lara was issued its 1083708291 on 2006-10-03, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details pertaining to Suelita Reyes De Lara last refreshed?

The information related to the Suelita Reyes De Lara, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

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