Individual
NITI SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10011 STONE HARBOR WAY, IRVING, TX 75063-5410
(214) 454-2278
Mailing address
10011 STONE HARBOR WAY, IRVING, TX 75063-5410
(214) 454-2278
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
Other
Enumeration date
01/09/2021
Last updated
01/09/2021
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