Individual
KIMBERLY VICTORIA DASILVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19747 GREENLEY RD, SONORA, CA 95370-5998
(209) 536-3720
(209) 588-1570
Mailing address
1000 GREENLEY RD, SONORA, CA 95370-5200
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86107458
CA
Other
Enumeration date
11/13/2024
Last updated
11/13/2024
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