Individual
BRITTANY K SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CD
Contact information
Practice address
1818 N MEADE ST, APPLETON, WI 54911-3454
(920) 831-5077
(920) 831-5093
Mailing address
PO BOX 2759, APPLETON, WI 54912-2759
(920) 831-5077
(920) 831-5093
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2754
WI
Other
Enumeration date
09/18/2014
Last updated
09/18/2014
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