Individual
SHOSHANA WEED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1060 E SUSITNA BAY, WASILLA, AK 99654-3937
(907) 715-4410
Mailing address
1060 E SUSITNA BAY, WASILLA, AK 99654-3937
(907) 715-4410
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
144326
AK
Other
Enumeration date
09/20/2024
Last updated
09/20/2024
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