Individual
MISS SHELBY ROSE BIRDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LD
Contact information
Practice address
1951 NW 7TH AVE # 2278, MIAMI, FL 33136-1104
(305) 243-6388
Mailing address
1951 NW 7TH AVE # 2278, MIAMI, FL 33136-1104
(210) 508-1116
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86253904
TX
Other
Enumeration date
08/08/2020
Last updated
05/05/2022
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