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Individual

KATHERINE ELISE SHAMOON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RD, LD

Contact information

Practice address
1500 COOPER ST, FORT WORTH, TX 76104-2710
(682) 885-1992
Mailing address
PO BOX 733784, DALLAS, TX 75373-3784
(682) 885-1860
(682) 885-1396

Taxonomy

Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
TX

Other

Enumeration date
10/30/2018
Last updated
01/04/2022
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