Provider Demographics
NPI:1295940765
Name:DAYRIT, MARIA ROSALINA M (LVN)
Entity type:Individual
Prefix:
First Name:MARIA ROSALINA
Middle Name:M
Last Name:DAYRIT
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:251 CRESTMOOR CIR
Mailing Address - Street 2:
Mailing Address - City:PACIFICA
Mailing Address - State:CA
Mailing Address - Zip Code:94044-1517
Mailing Address - Country:US
Mailing Address - Phone:650-355-4302
Mailing Address - Fax:
Practice Address - Street 1:918 BONITA AVE APT 5
Practice Address - Street 2:
Practice Address - City:MOUNTAIN VIEW
Practice Address - State:CA
Practice Address - Zip Code:94040-2666
Practice Address - Country:US
Practice Address - Phone:650-390-9371
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAVN 201417164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse