Individual
SHIRLEY BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LDN
Contact information
Practice address
360 HUNTINGTON AVE, 208 RB, BOSTON, MA 02115-5005
(857) 249-4780
Mailing address
2777 N STEMMONS FWY STE 400, DALLAS, TX 75207-2265
(857) 249-4780
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
3308
MA
133V00000X
Registered Dietitian
Primary
DT07342
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3308
REGISTERED DIETITIAN LICENSE
MA
01
—
DT07342
RD LICENSE
TX
Enumeration date
06/05/2012
Last updated
05/08/2014
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