Individual
MRS. SHANNON REGINA CROSBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPH, RD, LD
Contact information
Practice address
5244 S HAWTHORNE DR, SPRINGFIELD, MO 65804-5303
(417) 597-5895
Mailing address
5244 S HAWTHORNE DR, SPRINGFIELD, MO 65804-5303
(417) 597-5895
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2011022617
MO
Other
Enumeration date
11/19/2024
Last updated
11/19/2024
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