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Individual

SEAN DAVILA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHD, CNS (NM)

Contact information

Practice address
504 WHISPERING MEADOWS DR NE, RIO RANCHO, NM 87144-4116
(505) 252-9080
Mailing address
504 WHISPERING MEADOWS DR NE, RIO RANCHO, NM 87144-4116
(505) 252-9080

Taxonomy

Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
NDP-2026-0024
NM
133V00000X
Registered Dietitian
Primary
NDP-2026-0029
NM

Other

Enumeration date
01/30/2026
Last updated
04/20/2026
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