| Doctor Name: | TAMMY JEANNE DAVISON |
| NPI Number: | 1912182130 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RD, CDE |
| License Number: | 875166 |
| Business Practice Address: | 2535 Hualapai Mtn Rd Ste C Kingman, AZ - 86401 |
| Business Phone Number: | 9284150446 |
| Business Fax Number: | 9286921323 |
| Mailing Address: | 4099 Gemstone Ave, KINGMAN |
| State: | AZ |
| Postal Code: | 864017385 |
| Phone Number: | 9285305430 |
| Fax Number: | |
| NPI Enumeration Date: | 01/07/2008 |
| NPI Last Update Date: | 07/27/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | 875166 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Dietary & Nutritional Service Providers |
| Taxonomy Classification: | Dietitian, Registered |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |