Individual
MONICA DAVIDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
28 KNOLLWOOD AVE, MOUNT VERNON, NY 10550-4938
(917) 667-6505
Mailing address
28 KNOLLWOOD AVE, MOUNT VERNON, NY 10550-4938
(917) 667-6505
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
Other
Enumeration date
08/09/2010
Last updated
08/09/2010
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