Individual
BRENDA KAY SHANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
2301 EASTERN AVE, RED OAK, IA 51566-1305
(712) 623-7166
(712) 623-8442
Mailing address
2301 EASTERN AVE, RED OAK, IA 51566-1305
(712) 623-7166
(712) 623-8442
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
01419
IA
Other
Enumeration date
08/09/2022
Last updated
08/09/2022
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