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Individual

SHONDA MARIE SLAVEC

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS RD LD

Contact information

Practice address
2455 MISSOURI AVE STE A, LAS CRUCES, NM 88001-5122
(505) 417-0871
Mailing address
4216 CAMINO LINDO CT, LAS CRUCES, NM 88011-8434
(505) 417-0871

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD-0936
NM
133VN1005X
Renal Nutrition Registered Dietitian
LD-0936
NM

Other

Enumeration date
06/05/2017
Last updated
06/05/2017
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