Individual
MS. JENNIFER DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
2828 PAA ST, HONOLULU, HI 96819-4430
(757) 618-5515
Mailing address
2828 PAA ST, HONOLULU, HI 96819-4430
(757) 618-5515
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
721860
HI
Other
Enumeration date
01/31/2012
Last updated
01/31/2012
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