Individual
MS. DEBRA DAVIDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, MS, CDE
Contact information
Practice address
34 HAVERHILL ST, LAWRENCE, MA 01841-2884
(978) 686-0090
(978) 681-5963
Mailing address
34 HAVERHILL ST, LAWRENCE, MA 01841-2884
(978) 686-0090
(978) 681-5963
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
4093
MA
136A00000X
Registered Dietetic Technician
0802
NH
Other
Enumeration date
05/04/2007
Last updated
01/14/2017
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