Individual
HEATHER NOELLE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD
Contact information
Practice address
1457 S WHITE PINE ST, TERRE HAUTE, IN 47803-4000
(859) 801-9113
Mailing address
1457 S WHITE PINE ST, TERRE HAUTE, IN 47803-4000
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164.007715
IL
Other
Enumeration date
07/11/2019
Last updated
07/11/2019
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