Individual
MISS ALLISON SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
901 MACARTHUR BLVD, MUNSTER, IN 46321-2901
(219) 836-6797
(219) 513-1124
Mailing address
13025 TANEY PL, CROWN POINT, IN 46307-9768
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
164006140
IL
133V00000X
Registered Dietitian
Primary
37002351A
IN
Other
Enumeration date
03/05/2014
Last updated
11/05/2015
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