Individual
SHANNON N GIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
871 CORONADO CENTER DR STE 261, HENDERSON, NV 89052-3977
(702) 830-9685
(702) 623-2921
Mailing address
871 CORONADO CENTER DR STE 200, HENDERSON, NV 89052-3977
(702) 830-9685
(702) 623-2921
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
39778-DI-0
NV
Other
Enumeration date
10/12/2020
Last updated
10/12/2020
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