Individual
JIL FITCH SHANGRAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
1 MEDICAL CENTER DR, LEBANON, NH 03756-1000
(603) 650-6289
Mailing address
8 NOTTINGHAM CIR, LEBANON, NH 03766-2619
(603) 448-5545
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2
NH
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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