Individual
SHANNA THERESA RUDEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
23 BELLEVUE AVE, NORTH SMITHFIELD, RI 02896-7103
(401) 651-2987
Mailing address
23 BELLEVUE AVE, NORTH SMITHFIELD, RI 02896-7103
(401) 651-2987
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LDN01040
RI
Other
Enumeration date
08/20/2025
Last updated
08/20/2025
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