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Individual

SHAKU MARIE NGANDU

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
LD

Contact information

Practice address
2727 W HOLCOMBE BLVD, HOUSTON, TX 77025-1669
(713) 442-0000
Mailing address
2727 W HOLCOMBE BLVD, HOUSTON, TX 77025-1669

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
017605
IL
133V00000X
Registered Dietitian
Primary
DT80115
TX

Other

Enumeration date
10/20/2005
Last updated
07/08/2007
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