Individual
SHAUNICE WALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DIETITIAN
Contact information
Practice address
4 ATLANTIC ST SW, WASHINGTON, DC 20032-2350
(202) 407-7747
(202) 232-8494
Mailing address
4 ATLANTIC ST SW, WASHINGTON, DC 20032-2350
(202) 407-7747
(202) 232-8494
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI100000712
DC
Other
Enumeration date
02/10/2020
Last updated
02/10/2020
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