Individual
SHANNON SOUTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNTP
Contact information
Practice address
460 MANHATTAN AVE APT 2A, BROOKLYN, NY 11222-4939
(646) 731-9497
Mailing address
460 MANHATTAN AVE APT 2A, BROOKLYN, NY 11222-4939
(646) 731-9497
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
—
—
Other
Enumeration date
04/30/2021
Last updated
04/30/2021
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