Individual
MICHELLE SHANNON YATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, LMNT
Contact information
Practice address
11329 P ST STE 126, OMAHA, NE 68137-2315
(402) 807-7007
Mailing address
2430 S 167TH ST, OMAHA, NE 68130-1541
(402) 312-5717
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1380
NE
Other
Enumeration date
07/31/2020
Last updated
07/31/2020
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