Provider Demographics
NPI:1184512428
Name:IAKOVISHINA, DARIA (MS)
Entity type:Individual
Prefix:
First Name:DARIA
Middle Name:
Last Name:IAKOVISHINA
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:DARIA
Other - Middle Name:
Other - Last Name:PAPPAS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MS
Mailing Address - Street 1:1931 JONES ST UNIT B
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94133-2561
Mailing Address - Country:US
Mailing Address - Phone:201-673-4526
Mailing Address - Fax:
Practice Address - Street 1:1931 JONES ST UNIT B
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94133-2561
Practice Address - Country:US
Practice Address - Phone:201-673-4526
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-25
Last Update Date:2025-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education