Individual
CHARLIE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RD
Contact information
Practice address
1279 ALICANTE DR, PACIFICA, CA 94044-4306
(612) 999-3662
Mailing address
1279 ALICANTE DR, PACIFICA, CA 94044-4306
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86147795
CA
Other
Enumeration date
12/11/2025
Last updated
12/11/2025
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