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Individual
SHANNON MASSEY
Active
Individual
SHANNON MASSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
—
—
133V00000X
Registered Dietitian
Primary
1014740
CA
Other
Enumeration date
09/15/2010
Last updated
09/15/2010
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