Individual
SUZANNE M DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LDN, CDE
Contact information
Practice address
57 PROSPECT ST, NANTUCKET, MA 02554-2799
(508) 825-8141
(508) 825-8101
Mailing address
57 PROSPECT ST, NANTUCKET, MA 02554-2799
(508) 825-8141
(508) 825-8101
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
659
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
659
LICENSE
MA
Enumeration date
05/25/2007
Last updated
07/08/2007
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