Individual
HEATHER NICOLE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
3724 JEFFERSON ST STE 104, AUSTIN, TX 78731-6204
(505) 506-7737
Mailing address
PO BOX 3280, EDGEWOOD, NM 87015-3280
(505) 506-7737
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD-1227
NM
Other
Enumeration date
01/16/2024
Last updated
01/16/2024
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