OrganizationActive
Leila Davis
NPI 1295193084 · Registered Dietetic Technician · Kenmore, WA
Provider details
- NPI number
- 1295193084
- Entity type
- Organization
- Primary specialty
- Registered Dietetic TechnicianDietary & Nutritional Service Providers
- Organization subpart
- No
- Authorized official
- Leila Davis, Nutrition and Diet Technicina(870) 224-5492
- License
- 1057724 (AR)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Practice location
17806 80th Ave Ne
Kenmore, WA 98028-1806
Phone: (870) 224-5492
Approximate (ZIP-level) locationGet directions
Mailing address
17806 80th Ave Ne
Kenmore, WA 98028-1806
Registry dates
- Enumerated
- 2016-02-08
- Last updated
- 2016-02-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.