NICOLE DAVIS

CARTERVILLE, IL
NPI1871975938
Former NameNICOLE LENCE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: IL  164.006153)
Enumeration Date2015-06-25
Last Update Date2022-09-26
Business Address
NICOLE DAVIS MS, RDN, LDN
1006 S DIVISION ST
CARTERVILLE, IL 62918-1539
Phone number: 618-519-9200
Mailing Address
NICOLE DAVIS MS, RDN, LDN
109 CALIFORNIA ST PO BOX 577
CARTERVILLE, IL 62918
Phone number: 618-519-9200
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