Individual
HEATHER DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1800 N CALIFORNIA ST, STOCKTON, CA 95204-6019
(209) 943-2000
Mailing address
1800 N CALIFORNIA ST, STOCKTON, CA 95204-6019
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
01020130
CA
Other
Enumeration date
01/06/2010
Last updated
08/20/2010
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