Organization
SHINE THE DIETITIAN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KERIANN SHINE RD (OWNER/REGISTERED DIETITIAN)
(907) 250-5522
Entity
Organization
Contact information
Practice address
2041 REVERE CIR, ANCHORAGE, AK 99515-2501
(907) 250-5522
Mailing address
2041 REVERE CIR, ANCHORAGE, AK 99515-2501
(907) 250-5522
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
03/07/2024
Last updated
03/07/2024
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