Individual
JENNIFER SHAWGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9011 W GRAYLING DR, MARANA, AZ 85653-8930
(217) 520-1035
Mailing address
9011 W GRAYLING DR, MARANA, AZ 85653-8930
(520) 261-3160
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
Other
Enumeration date
01/04/2024
Last updated
01/24/2024
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