Doctor Name: | GERALYN DA SILVA |
NPI Number: | 1306245774 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 351468 |
Business Practice Address: | 12140 New York Ranch Rd Jackson, CA - 956429407 |
Business Phone Number: | 2092572400 |
Business Fax Number: | 2092572403 |
Mailing Address: | Po Box 939, ANGELS CAMP |
State: | CA |
Postal Code: | 952220939 |
Phone Number: | 2097546240 |
Fax Number: | 2097546274 |
NPI Enumeration Date: | 08/21/2014 |
NPI Last Update Date: | 08/21/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 351468 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | |
Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |