Individual
SHIVANI SHARMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LD, CLT
Contact information
Practice address
120 S DENTON TAP RD, SUITE 270-A, COPPELL, TX 75019-3297
(214) 597-6064
(888) 263-1392
Mailing address
414 OLD YORK RD, COPPELL, TX 75019-3738
(214) 597-6064
(888) 263-1392
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT81088
TX
Other
Enumeration date
06/30/2009
Last updated
01/20/2012
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