Individual
BETSY RUTH SHACKELFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
1574 WESLEY CT, GENEVA, IL 60134-3727
(630) 945-7570
Mailing address
1574 WESLEY CT, GENEVA, IL 60134-3727
(630) 945-7570
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164.008341
IL
Other
Enumeration date
09/05/2024
Last updated
09/05/2024
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