Gailey, Mandy R.C.
Gailey, Mandy R.C. is an individual health care provider with primary practice located at 84 Santa Rosa St Suite A, San Luis Obispo CA 93405-1812. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Gailey, Mandy R.C. can be contacted via phone (805) 548-8585.Contact Information
Primary practice address
84 Santa Rosa St Suite A
San Luis Obispo CA 93405-1812
Phone: (805) 548-8585
Fax: (805) 548-8589
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X | 00913811 | California |
Profile Details
| NPI number | 1962706994 |
|---|---|
| LBN Legal business name | Gailey, Mandy R.C. |
| Credentials | Registered Dietitian (RD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 5th, 2011 |
| Last updated | Nov 10th, 2014 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962706994 | NPPES |
| California | Other | 913811 | AMERICAN DIETETIC ASSOCIATION MEMBERSHIP |
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