Individual
DIANA DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
452 ROYAL TERN DR, HAMPSTEAD, NC 28443-7175
(910) 352-2165
Mailing address
452 ROYAL TERN DR, HAMPSTEAD, NC 28443-7175
(910) 352-2165
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L002639
NC
Other
Enumeration date
06/05/2007
Last updated
11/15/2018
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