Individual
MS. LORETTA B. SHIELDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS,RD
Contact information
Practice address
130 WARREN ST, THERMOPOLIS, WY 82443-2826
(734) 751-6097
Mailing address
130 WARREN ST, THERMOPOLIS, WY 82443-2826
(734) 751-6097
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
03/03/2014
Last updated
03/03/2014
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