Individual
AARON MICHAEL DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RDN
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86112844
IN
133V00000X
Registered Dietitian
—
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38016888410
—
IN
05
—
83-3238435
—
IN
Enumeration date
01/22/2019
Last updated
09/21/2020
Update your record
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