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Individual

ELIZABETH DAVENPORT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MPH, RDN, LD

Contact information

Practice address
2440 M ST NW STE 411, WASHINGTON, DC 20037-1449
(202) 997-6372
Mailing address
2440 M ST NW STE 411, WASHINGTON, DC 20037-1449
(202) 997-6372

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI100000205
DC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
DI100000205
DC DOH DIETETICS LICENSE
DC
Enumeration date
06/06/2019
Last updated
11/27/2023
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