Individual
SHAUNNAN ALLEN COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
103 MISTY MORN LN, HUNTSVILLE, AL 35811-8688
(256) 604-8613
Mailing address
103 MISTY MORN LN, HUNTSVILLE, AL 35811-8688
(256) 604-8613
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
954
AL
133NN1002X
Nutrition Education Nutritionist
Primary
954
AL
Other
Enumeration date
12/03/2024
Last updated
12/03/2024
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