Individual
SHANNAN MARIE STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
770 MILES RD STE 1, WEST CHESTER, PA 19380-1950
(610) 436-8611
Mailing address
340 MEDIA STATION RD APT C327, MEDIA, PA 19063-4779
(610) 405-8687
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN006578
PA
Other
Enumeration date
10/15/2020
Last updated
10/15/2020
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