Individual
SHANEKA LEE VALDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
816 REDBUD LN, SUMMERVILLE, SC 29486-6948
(910) 724-5000
Mailing address
816 REDBUD LN, SUMMERVILLE, SC 29486-6948
(910) 724-5000
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
Other
Enumeration date
06/12/2023
Last updated
06/12/2023
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