Individual
SHELBY MOOSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
37868 US HIGHWAY 18, PRAIRIE DU CHIEN, WI 53821-8416
(608) 357-2219
(608) 357-2254
Mailing address
37868 US HIGHWAY 18, PRAIRIE DU CHIEN, WI 53821-8416
(608) 357-2219
(608) 357-2254
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2822
WI
Other
Enumeration date
01/05/2015
Last updated
11/20/2019
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