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Individual

CAITLYN JAHN SHOEMAKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, RDN, LDN, EDRC

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
DI61314829
CERTIFIED DIETITIAN NUTRITIONIST (CDN)
WA
01
DN007567
LICENSED DIETITIAN NUTRITIONIST (LDN)
PA
01
NU-NU-5365
LICENSED DIETITIAN NUTRITIONIST (LDN)
MA
Enumeration date
07/22/2021
Last updated
08/10/2022
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