Provider Demographics
NPI:1093955981
Name:ZYHAILO, MARAN ISABELLE (RD)
Entity Type:Individual
Prefix:
First Name:MARAN
Middle Name:ISABELLE
Last Name:ZYHAILO
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27313 WOODLAWN CT
Mailing Address - Street 2:
Mailing Address - City:VALENCIA
Mailing Address - State:CA
Mailing Address - Zip Code:91354-1928
Mailing Address - Country:US
Mailing Address - Phone:661-297-2986
Mailing Address - Fax:
Practice Address - Street 1:27313 WOODLAWN CT
Practice Address - Street 2:
Practice Address - City:VALENCIA
Practice Address - State:CA
Practice Address - Zip Code:91354-1928
Practice Address - Country:US
Practice Address - Phone:661-297-2986
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-05
Last Update Date:2009-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered