Individual
SHAUNA C PHIPPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
9040 JACKSON AVE, JOINT BASE LEWIS MCCHORD, WA 98431-1100
(253) 968-0573
Mailing address
9040 REID ST, ATTN:MCHJ-QCR, JOINT BASE LEWIS MCCHORD, WA 98431-1100
(253) 968-2252
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI 60165206
WA
Other
Enumeration date
06/13/2011
Last updated
05/23/2019
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