Individual
MISS KELLY DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
8544 VILLA LA JOLLA DR APT 203, LA JOLLA, CA 92037-8314
(760) 960-9456
Mailing address
8544 VILLA LA JOLLA DR APT 203, LA JOLLA, CA 92037-8314
(508) 564-8356
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86301451
CA
Other
Enumeration date
10/26/2022
Last updated
10/26/2022
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