Individual
MS. MARTY DAVEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, LDN
Contact information
Practice address
254 BRAESIDE AVE, EAST STROUDSBURG, PA 18301-2933
(570) 420-8276
Mailing address
254 BRAESIDE AVE, EAST STROUDSBURG, PA 18301-2933
(570) 420-8276
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN004602
PA
Other
Enumeration date
09/13/2012
Last updated
09/13/2012
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