Provider Demographics
NPI:1386515336
Name:SALIR, SENA
Entity type:Individual
Prefix:
First Name:SENA
Middle Name:
Last Name:SALIR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5845 WESTERN RUN DR APT F
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21209-4139
Mailing Address - Country:US
Mailing Address - Phone:302-540-3377
Mailing Address - Fax:
Practice Address - Street 1:5845 WESTERN RUN DR APT F
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21209-4139
Practice Address - Country:US
Practice Address - Phone:302-540-3377
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-15
Last Update Date:2025-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD86466262133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered