Individual
SHELLY DEHAAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
707 EAST MAIN STREET, ORANGE REGIONAL MEDICAL CENTER, MIDDLETOWN, NY 10940
(845) 333-2705
Mailing address
707 EAST MAIN STREET, ORANGE REGIONAL MEDICAL CENTER, MIDDLETOWN, NY 10940
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
717426
IL
Other
Enumeration date
06/08/2017
Last updated
06/08/2017
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