Individual
MRS. CHARISSA SUE SHADDUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS RD
Contact information
Practice address
3181 SANDHILL RD, MASON, MI 48854
(517) 336-6060
(517) 336-6050
Mailing address
3181 SANDHILL RD, MASON, MI 48854
(517) 336-6060
(517) 336-6050
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
09/20/2007
Last updated
12/04/2014
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