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Individual
SHANNON RAE PASEKA
Active
Individual
SHANNON RAE PASEKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, CSP, LD
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
2001022037
MO
133VN1004X
Pediatric Nutrition Registered Dietitian
1047
KS
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
2001022037
MO
Other
Enumeration date
07/11/2008
Last updated
04/02/2024
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