Individual
SHAWN L QUINN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
8028 CARNEGIE BLVD, SUITE 250, FORT WAYNE, IN 46804-5787
(260) 373-7872
(260) 755-6233
Mailing address
1234 E DUPONT RD, SUITE 1, FORT WAYNE, IN 46825-1545
(260) 373-9965
(260) 458-5664
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
37002138A
IN
Other
Enumeration date
12/20/2011
Last updated
12/20/2011
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