Provider Demographics
NPI:1710095393
Name:DARLAND, CELIA MARY (RD)
Entity Type:Individual
Prefix:MRS
First Name:CELIA
Middle Name:MARY
Last Name:DARLAND
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 1:6106 VANCE JACKSON RD
Mailing Address - Street 2:UNIT 10
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78230-3322
Mailing Address - Country:US
Mailing Address - Phone:210-696-1457
Mailing Address - Fax:
Practice Address - Street 1:6106 VANCE JACKSON RD
Practice Address - Street 2:UNIT 10
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78230-3322
Practice Address - Country:US
Practice Address - Phone:210-696-1457
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered