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Individual

ERIN MARIE DAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S., R.D.

Contact information

Practice address
N15019 HANNAHVILLE B1 RD, WILSON, MI 49896
(906) 466-2782
Mailing address
930 17TH RD, BARK RIVER, MI 49807-9599
(906) 466-2782
(906) 466-7454

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
963758
NAT REGISTRATION NUMBER
Enumeration date
07/20/2006
Last updated
09/17/2008
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