Individual
MRS. KRISTIN MARIE SHAFFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, LD
Contact information
Practice address
4517 KINGSDALE DR, BRYAN, TX 77802-3683
(979) 777-1002
Mailing address
4517 KINGSDALE DR, BRYAN, TX 77802-3683
(979) 777-1002
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT80561
TX
Other
Enumeration date
07/30/2011
Last updated
07/30/2011
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