Provider Demographics
NPI:1912607219
Name:DAMASIEWICZ, MARIA-ELENA KATRINA (RD)
Entity type:Individual
Prefix:MS
First Name:MARIA-ELENA
Middle Name:KATRINA
Last Name:DAMASIEWICZ
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8325 WHITE SQUALL LN APT 2
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93312-6648
Mailing Address - Country:US
Mailing Address - Phone:716-901-2139
Mailing Address - Fax:
Practice Address - Street 1:8325 WHITE SQUALL LN APT 2
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93312-6648
Practice Address - Country:US
Practice Address - Phone:716-901-2139
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-06
Last Update Date:2023-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered