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Individual

MS. CYNTHIA L DAVIS

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
R.D.

Contact information

Practice address
4175 SOUTH ALAMO AVE, DMAFB, AZ 85707-4405
(520) 228-1003
Mailing address
4175 SOUTH ALAMO AVE, DMAFB, AZ 85707-4405
(520) 228-1003

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
85007167
CDR
AZ
Enumeration date
01/23/2006
Last updated
07/08/2007
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