Healthcare Provider Details

I. General information

NPI: 1962659847
Provider Name (Legal Business Name): IOLA ROSEMARY MACLACHLAN BSC.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/22/2008
Last Update Date: 08/22/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

635 NELSON RD
CAMPBELL RIVER BRITISH COLUMBIA
V9H1V1
CA

IV. Provider business mailing address

635 NELSON RD
CAMPBELL RIVER BRITISH COLUMBIA
V9H1V1
CA

V. Phone/Fax

Practice location:
  • Phone: 250-923-9176
  • Fax: 250-923-1645
Mailing address:
  • Phone: 250-923-9176
  • Fax: 250-923-1645

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133N00000X
TaxonomyNutritionist
License Number6453680000
License Number StateZZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: