Individual
SHELLY EDENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D., C.S.O., L.D.N.
Contact information
Practice address
60 MEMORIAL MEDICAL PKWY, FOOD AND NUTRITION DEPARTMENT, PALM COAST, FL 32164-5980
(386) 586-4320
Mailing address
8539 GATE PKWY W, UNIT 1435, JACKSONVILLE, FL 32216-1019
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND 5449
FL
Other
Enumeration date
02/18/2014
Last updated
02/18/2014
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