Provider Demographics
NPI:1205258381
Name:DELADO, MARY CAROL
Entity type:Individual
Prefix:
First Name:MARY
Middle Name:CAROL
Last Name:DELADO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:VIVA
Other - Middle Name:
Other - Last Name:DELADO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:25 VAN NESS STE 570 RM 533
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94102
Mailing Address - Country:US
Mailing Address - Phone:415-437-6245
Mailing Address - Fax:415-431-0353
Practice Address - Street 1:25 VAN NESS STE 570 RM 533
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94102
Practice Address - Country:US
Practice Address - Phone:415-437-6245
Practice Address - Fax:415-431-0353
Is Sole Proprietor?:No
Enumeration Date:2014-01-09
Last Update Date:2014-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZB0600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherBiostatistician