Individual
LISA ANN SHANOIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S, R.D.
Contact information
Practice address
7300 N FRESNO ST, FRESNO, CA 93720-2941
(559) 448-4500
Mailing address
5144 E LOWE AVE, FRESNO, CA 93727-5256
(559) 287-8536
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
916967
CA
Other
Enumeration date
03/18/2010
Last updated
03/18/2010
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