Individual
MARY J LEMM DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
55 W TIETAN ST, WALLA WALLA, WA 99362-4445
(509) 525-3720
(509) 522-1592
Mailing address
55 W TIETAN ST, WALLA WALLA, WA 99362-4445
(509) 525-3720
(509) 522-1592
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
251
OR
133V00000X
Registered Dietitian
Primary
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0225358
L&I
WA
Enumeration date
05/22/2007
Last updated
11/27/2007
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