Individual
ANNA SHANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
1506 COLONIAL AVE, APT 1, NORFOLK, VA 23517-2064
(757) 784-8927
Mailing address
1506 COLONIAL AVE, APT 1, NORFOLK, VA 23517-2064
(757) 784-8927
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86025272
VA
Other
Enumeration date
03/07/2017
Last updated
03/07/2017
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