Individual
SHANAZ EMMA NEELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MCN, RD, LD
Contact information
Practice address
2001 INWOOD RD, DALLAS, TX 75390-6129
(214) 645-2800
Mailing address
PO BOX 845347, DALLAS, TX 75284-7208
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT83020
TX
133VN1004X
Pediatric Nutrition Registered Dietitian
DT83020
TX
Other
Enumeration date
03/14/2014
Last updated
01/11/2021
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