Individual
MS. ELAINE MAE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., R.D., L.D.
Contact information
Practice address
755 SCOTT CIR, JBPHH, HI 96853
(512) 299-1048
Mailing address
1627 ALA WAI BLVD APT 203, HONOLULU, HI 96815-5808
(512) 299-1048
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT80715
TX
133VN1005X
Renal Nutrition Registered Dietitian
DT80715
TX
Other
Enumeration date
04/27/2010
Last updated
07/24/2018
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