Individual
MISS SHANNON DEE EGERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D., L.D.
Contact information
Practice address
155 5TH ST NE, BARBERTON, OH 44203-3332
(330) 807-8828
Mailing address
155 5TH ST NE, BARBERTON, OH 44203-3332
(330) 807-8828
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
997705
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
261-375-072
—
OH
Enumeration date
01/07/2011
Last updated
01/09/2011
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