Individual
SHALYNNE LYNNATT BARR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNC
Contact information
Practice address
21751 W 11 MILE RD, SUITE 208, SOUTHFIELD, MI 48076-3780
(248) 509-0096
Mailing address
21751 W 11 MILE RD STE 208, SOUTHFIELD, MI 48076-3780
(248) 509-0096
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
NUT17028526
—
Other
Enumeration date
03/22/2019
Last updated
03/22/2019
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