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Individual

MS. MELISSA DAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
71 HOSPITAL AVE, FOOD AND NUTRITION SERVICES, NORTH ADAMS, MA 01247-2504
(413) 841-8777
(413) 664-5034
Mailing address
71 HOSPITAL AVE, FOOD AND NUTRITION SERVICES, NORTH ADAMS, MA 01247-2504
(413) 841-8777
(413) 664-5034

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
000003572
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1174547871
MEDICARE NPI
MA
Enumeration date
12/19/2013
Last updated
12/19/2013
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