Doctor Name: | MANDY R.C. GAILEY |
NPI Number: | 1962706994 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD |
License Number: | 00913811 |
Business Practice Address: | 84 Santa Rosa St Suite A San Luis Obispo, CA - 934051812 |
Business Phone Number: | 8055488585 |
Business Fax Number: | 8055488589 |
Mailing Address: | 84 Santa Rosa St, Suite A SAN LUIS OBISPO |
State: | CA |
Postal Code: | 934051812 |
Phone Number: | 8055488585 |
Fax Number: | 8055488589 |
NPI Enumeration Date: | 01/05/2011 |
NPI Last Update Date: | 11/10/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 00913811 |
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 |