Individual
SHANNON C HENNING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, LD
Contact information
Practice address
8210 RADIAL CT, CORPUS CHRISTI, TX 78414-6455
(361) 218-0851
Mailing address
8210 RADIAL CT, CORPUS CHRISTI, TX 78414-6455
(361) 218-0851
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
940832
TX
Other
Enumeration date
11/07/2006
Last updated
11/03/2009
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