Provider Demographics
NPI:1144899808
Name:EVIA, VALERIA (RDN, LD)
Entity type:Individual
Prefix:
First Name:VALERIA
Middle Name:
Last Name:EVIA
Suffix:
Gender:F
Credentials:RDN, LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:113 BRINKLEY CIR
Mailing Address - Street 2:
Mailing Address - City:DEL RIO
Mailing Address - State:TX
Mailing Address - Zip Code:78840-7906
Mailing Address - Country:US
Mailing Address - Phone:956-459-9614
Mailing Address - Fax:
Practice Address - Street 1:113 BRINKLEY CIR
Practice Address - Street 2:
Practice Address - City:DEL RIO
Practice Address - State:TX
Practice Address - Zip Code:78840-7906
Practice Address - Country:US
Practice Address - Phone:956-459-9614
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-17
Last Update Date:2021-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDT87114133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered