Individual
KRISTINA COOPER DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, LDN
Contact information
Practice address
640 S STATE ST, DOVER, DE 19901-3530
(302) 744-6597
Mailing address
640 S STATE ST, DOVER, DE 19901-3530
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN-0000657
DE
Other
Enumeration date
04/03/2018
Last updated
04/03/2018
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