Provider Demographics
NPI:1205146479
Name:KENT, MARIA DOLORES (CNC)
Entity type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:DOLORES
Last Name:KENT
Suffix:
Gender:F
Credentials:CNC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15590 VIA VENETO
Mailing Address - Street 2:
Mailing Address - City:MORGAN HILL
Mailing Address - State:CA
Mailing Address - Zip Code:95037-5352
Mailing Address - Country:US
Mailing Address - Phone:408-778-0510
Mailing Address - Fax:408-779-8789
Practice Address - Street 1:15590 VIA VENETO
Practice Address - Street 2:
Practice Address - City:MORGAN HILL
Practice Address - State:CA
Practice Address - Zip Code:95037-5352
Practice Address - Country:US
Practice Address - Phone:408-778-0510
Practice Address - Fax:408-779-8789
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-20
Last Update Date:2010-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education