Individual
ANNE SHUTELOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS RD LD
Contact information
Practice address
5140 WHITE OAK AVE APT 304, ENCINO, CA 91316-2437
(717) 512-2655
Mailing address
5140 WHITE OAK AVE APT 304, ENCINO, CA 91316-2437
(717) 512-2655
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1091465
TN
Other
Enumeration date
07/21/2021
Last updated
02/27/2025
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