Individual
SHELLEY BALLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MDA, RDN, LDN
Contact information
Practice address
206 COTTONWOOD DRIVE, SMOOT, WY 83126
(307) 799-4048
Mailing address
PO BOX 141, SMOOT, WY 83126-0141
(307) 799-4048
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
222
WY
Other
Enumeration date
10/16/2023
Last updated
10/16/2023
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