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Individual

JILL NICHOLE DAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
R.D.

Contact information

Practice address
611 CASCADE WEST PKWY SE, GRAND RAPIDS, MI 49546-2107
(248) 475-4880
Mailing address
4986 N ADAMS RD, SUITE E, ROCHESTER, MI 48306-5017
(248) 475-4880
(248) 475-4881

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
945341
MI

Other

Enumeration date
03/12/2008
Last updated
03/12/2008
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