Individual
SHALIESE MCKINNEY SERMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
125 W WAUKESHA ST, MERIDIAN, ID 83646-7074
(801) 368-3232
Mailing address
125 W WAUKESHA ST, MERIDIAN, ID 83646-7074
(208) 917-7152
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
05/22/2023
Last updated
11/27/2023
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