Individual
SHANNON JOYCE HEIDINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LD
Contact information
Practice address
1000 E WASHINGTON ST, MEDINA, OH 44256-2167
(330) 725-1000
Mailing address
1000 E WASHINGTON ST, MEDINA, OH 44256-2170
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD.08313
OH
Other
Enumeration date
05/30/2019
Last updated
03/31/2021
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