Individual
SHANNON ROBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1800 BARONNE ST APT 204, NEW ORLEANS, LA 70113-1582
(504) 655-1468
Mailing address
1800 BARONNE ST APT 204, NEW ORLEANS, LA 70113-1582
(504) 655-1468
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
912806
LA
Other
Enumeration date
12/03/2019
Last updated
12/03/2019
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