Individual
SHANNON KEEFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
1625 62ND ST, BERKELEY, CA 94703-2603
(785) 331-6839
Mailing address
1625 62ND STREET, BERKELEY, CA 94703
(785) 331-6839
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
Other
Enumeration date
05/27/2024
Last updated
05/27/2024
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