Individual
SHANNON DEVRIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D., LDN
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
2990
MA
133V00000X
Registered Dietitian
Primary
926928
MA
133VN1004X
Pediatric Nutrition Registered Dietitian
926928
MA
Other
Enumeration date
03/17/2015
Last updated
03/17/2015
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