Individual
MRS. TERRA LYNN DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDLD
Contact information
Practice address
1823 COLLEGE AVE, MANHATTAN, KS 66502-3381
(785) 776-2886
(785) 565-4742
Mailing address
1804 BROWNING AVE, MANHATTAN, KS 66502-2302
(785) 476-5430
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1273
KS
Other
Enumeration date
08/11/2005
Last updated
07/08/2007
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