Individual
MRS. SHANNON COCHRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LD/N
Contact information
Practice address
501 6TH AVE S, NUTRITIONAL SERVICES, ST PETERSBURG, FL 33701-4634
(727) 767-7204
Mailing address
501 6TH AVE S, NUTRITIONAL SERVICES, ST PETERSBURG, FL 33701-4634
(727) 767-7204
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
5794483
FL
Other
Enumeration date
10/02/2014
Last updated
10/02/2014
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