Individual
SHANNON DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD
Contact information
Practice address
4340 STATE HIGHWAY 80, HARTWICK, NY 13348-2714
(607) 547-8286
Mailing address
4340 STATE HIGHWAY 80, HARTWICK, NY 13348-2714
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
8674081
NY
Other
Enumeration date
02/13/2017
Last updated
02/13/2017
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