Individual
MRS. BONITA ANN DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
681 SNYDER HILL RD, ITHACA, NY 14850-8711
(607) 277-2943
Mailing address
681 SNYDER HILL RD, ITHACA, NY 14850-8711
(607) 277-2943
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
817922
—
Other
Enumeration date
02/01/2011
Last updated
02/01/2011
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