MRS. Joanna Kelley Davidson, M.S., R.D., L.D.

NPI #1154690543 in Pocatello, Idaho

Provider Information

NPI Number
1154690543
Entity Type
Individual
Name
MRS. Joanna Kelley Davidson, M.S., R.D., L.D.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dietitian, Registered
Credential
M.S., R.D., L.D.
Enumeration Date
Dec 14, 2011
Last Updated
Dec 14, 2011

Practice Location

Address
777 HOSPITAL WAY
Address 2
BUILDING A, SUITE 201
State
Idaho
ZIP Code
83201-5175
Phone
(208) 239-2737

Specialties & Taxonomy Codes

Specialty
Dietitian, Registered

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