Individual
MS. INGRID DORIS SHAGINOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS RD LN
Contact information
Practice address
2000 E INDUSTRIAL DR, WASILLA, AK 99654-8201
(907) 357-3003
(907) 357-3003
Mailing address
2000 E INDUSTRIAL DR, WASILLA, AK 99654-8201
(907) 357-3003
(907) 357-3003
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
2
AK
133V00000X
Registered Dietitian
Primary
2
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DT00022
—
CA
Enumeration date
12/24/2007
Last updated
12/24/2007
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