Tammy Jeanne Davison RD, CDE

NPI 1912182130 - Dietitian, Registered - 133V00000X

NPI Details
NPI 1912182130
Gender Female
Enumeration Date 01/07/2008
Last Updated 07/27/2015
Entity Type Individual
Active Over 8 years ago
Practice Location
2535 HUALAPAI MTN RD
STE C
KINGMAN AZ, 86401, UM
Phone (928) 415-0446
Fax (928) 692-1323
Business Location
4099 GEMSTONE AVE
KINGMAN AZ, 86401-7385, US
Phone (928) 530-5430
Fax
Toxanomy
Taxonomy Code 133V00000X
License State Arizona
License Number 875166
Remove 1912182130 NPI Number
 

According to our database, Tammy Jeanne Davison RD, CDE NPI is 1912182130, taxonomy code is 133V00000X and license number is 875166, license state is located at Arizona. Tammy Jeanne Davison RD, CDE physically located at 2535 Hualapai Mtn Rd, Kingman AZ, 86401. NPI Number Tammy Jeanne Davison RD, CDE has the Individual type.

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1912182130 NPI number is provided on an as is basis without warranty of any kind. 1912182130 is maintained by the National Plan & Provider Enumeration System. The contents of Tammy Jeanne Davison RD, CDE are for informational purposes only.